Organization
PEREGRINE HEALTH SERVICES OF CINCINNATI, LLC
Active
Other names
Oak Pavilion Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR G ALEMAN (CONTROLLER)
(614) 459-2482
Entity
Organization
Contact information
Practice address
510 OAK ST, CINCINNATI, OH 45219-2507
(513) 751-0880
(513) 751-0882
Mailing address
1661 OLD HENDERSON RD, COLUMBUS, OH 43220-3644
(614) 459-2482
(614) 459-2641
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1570N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2945933
—
OH
Enumeration date
06/02/2009
Last updated
07/31/2009
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