Organization
RACCOON CREEK SENIOR HOUSING LLC
Active
Other names
Middleton Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS THIEMAN (CFO)
(614) 715-3213
Entity
Organization
Contact information
Practice address
1500 WEAVER DR, GRANVILLE, OH 43023-1272
(740) 587-0059
Mailing address
1466 MANNING PKWY, POWELL, OH 43065-9171
(614) 715-3213
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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