Organization
OTTERBEIN NORTH SHORE RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA A NAGEL LNHA (EXECUTIVE DIRECTOR)
(419) 798-8203
Entity
Organization
Contact information
Practice address
9400 N SHORE BLVD, LAKESIDE MARBLEHEAD, OH 43440-1337
(419) 798-8203
(419) 798-4662
Mailing address
9400 N SHORE BLVD, LAKESIDE MARBLEHEAD, OH 43440-1337
(419) 798-8203
(419) 798-4662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2057R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2856913
—
OH
Enumeration date
12/04/2008
Last updated
12/04/2008
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