Organization
GARDENS AT PAULDING OPERATING COMPANY, LLC
Active
Other names
The Gardens at Paulding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DEGYANSKY LNHA (VICE PRESIDENT OF OPERATIONS)
(330) 620-7828
Entity
Organization
Contact information
Practice address
199 ROUTE 103, PAULDING, OH 45879
(419) 399-4940
Mailing address
199 ROUTE 103, PAULDING, OH 45879
(419) 399-4940
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2505R
LICENSURE
OH
Enumeration date
02/01/2021
Last updated
12/17/2024
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