Organization
HEARTLAND OF WATERVILLE OH, LLC
Active
Other names
Heartland of Waterville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
8885 BROWNING DR, WATERVILLE, OH 43566-9701
(419) 878-8523
(419) 878-0818
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1787N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2792287
—
OH
Enumeration date
06/08/2006
Last updated
05/22/2017
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