Organization
CARE STAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MEISTER (INDEPENDENT LIVING SERVICES PROVIDE)
(740) 387-1780
Entity
Organization
Contact information
Practice address
682 HARDING RD, MARION, OH 43302-5431
(740) 383-5897
Mailing address
682 HARDING RD, MARION, OH 43302-5431
(740) 383-5897
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
247-5138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247-5138
—
OH
Enumeration date
08/31/2006
Last updated
08/22/2020
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