Organization
OAK HEALTH CARE INVESTORS OF DEFIANCE, INC.
Active
Other names
THE LAURELS OF DEFIANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
1701 SOUTH JEFFERSON AVE, DEFIANCE, OH 43512
(419) 782-7879
(419) 782-3998
Mailing address
1701 SOUTH JEFFERSON AVE, DEFIANCE, OH 43512
(419) 782-7879
(419) 782-3998
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5160
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124010
—
OH
01
—
5160
NH LICENSE #
OH
01
—
7105590
UNITED HEALTH CARE ID #
OH
Enumeration date
10/10/2006
Last updated
10/05/2007
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