Organization
WELL TREVI WH SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN PISANELLI (AUTHORIZED REPRESENTATIVE)
(419) 247-2800
Entity
Organization
Contact information
Practice address
5100 FILLMORE AVE, ALEXANDRIA, VA 22311-5069
(703) 845-5000
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
05/03/2022
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