Organization
VICTORIAN MANOR 2, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFF P GASTON (OWNER)
(614) 732-3313
Entity
Organization
Contact information
Practice address
2205 PARKWOOD AVE, TOLEDO, OH 43620-1125
(419) 242-9707
(419) 243-1688
Mailing address
2205 PARKWOOD AVE, TOLEDO, OH 43620-1125
(419) 242-9707
(419) 243-1688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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