Organization
OTTERBEIN PORTAGE VALLEY
Active
Parent organization
OTTERBEIN PORTAGE VALLEY
Other names
Otterbein Portage Valley Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTTERBEIN PORTAGE VALLEY
Authorized official
JAMES CHRIS GREEN (TREASURER & CFO)
(513) 933-5418
Entity
Organization
Contact information
Practice address
20311 PEMBERVILLE ROAD, PEMBERVILLE, OH 43450-9202
(513) 933-5401
Mailing address
580 N STATE ROUTE 741, LEBANON, OH 45036-8839
(513) 933-5401
(513) 932-1054
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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