Organization
PUTNAM HERITAGE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DAVID (PRESIDENT)
(419) 350-5652
Entity
Organization
Contact information
Practice address
1380 N LOCUST ST, OTTAWA, OH 45875-1163
(419) 523-5152
(419) 523-5153
Mailing address
1380 N LOCUST ST, OTTAWA, OH 45875-1163
(419) 523-5152
(419) 523-5153
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2417R
OH
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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