Organization
WEST LIBERTY CARE CENTER INC
Active
Other names
Green Hills Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S RAY (CEO)
(937) 465-5065
Entity
Organization
Contact information
Practice address
6557 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9536
(937) 465-5065
(937) 465-4390
Mailing address
6557 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9536
(937) 465-5065
(937) 465-4390
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1637R
OH
311500000X
Alzheimer Center (Dementia Center)
1637N
OH
314000000X
Skilled Nursing Facility
Primary
1637N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349742
—
OH
Enumeration date
07/06/2006
Last updated
12/10/2020
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