Organization
MERCER COUNTY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L. MOEDER LNH (ADMINISTRATOR)
(419) 586-5513
Entity
Organization
Contact information
Practice address
4871 STATE ROUTE 29, CELINA, OH 45822-8216
(419) 586-5513
(419) 586-5577
Mailing address
4871 STATE ROUTE 29, CELINA, OH 45822-8216
(419) 586-5513
(419) 586-5577
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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