Organization
ANDOVER VILLAGE RETIREMENT COMMUNITY, LTD
Active
Other names
Andover Village Skilled Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J FRANCUS (PRES, VRC, INC MANAGER)
(330) 929-0009
Entity
Organization
Contact information
Practice address
486 S MAIN ST, ANDOVER, OH 44003-9602
(440) 293-5416
(440) 293-7428
Mailing address
486 S MAIN ST, ANDOVER, OH 44003-9602
(440) 293-5416
(440) 293-7428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2262715
—
OH
Enumeration date
11/10/2005
Last updated
04/11/2014
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