Organization
DAWN HEFNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN ANN HEFNER LPN (LPN)
(419) 443-1405
Entity
Organization
Contact information
Practice address
758 W TOWNSHIP ROAD 1190, TIFFIN, OH 44883-9116
(419) 443-8752
Mailing address
1215 E COUNTY ROAD 16, TIFFIN, OH 44883-9338
(419) 443-1405
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN110172
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2541360
PROVIDER NUMBER
OH
Enumeration date
11/10/2006
Last updated
06/13/2008
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