Organization
WOODRIDGE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BERGSTEN (MANAGER)
(937) 825-6622
Entity
Organization
Contact information
Practice address
3801 WOODRIDGE BLVD, FAIRFIELD, OH 45014-3598
(513) 874-9933
Mailing address
544 ENTERPRISE DR, LEWIS CENTER, OH 43035-9704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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