Organization
JAC-LIN MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA S. SNOWBARGER (OWNER)
(419) 994-4191
Entity
Organization
Contact information
Practice address
695 S MOUNT VERNON AVE, LOUDONVILLE, OH 44842-1414
(419) 994-5700
Mailing address
695 S MOUNT VERNON AVE, LOUDONVILLE, OH 44842-1414
(419) 994-5700
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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