Organization
ANTONINE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MADELEINE ISKANDAR (PRESIDENT)
(330) 538-9822
Entity
Organization
Contact information
Practice address
2675 N LIPKEY RD, NORTH JACKSON, OH 44451-9665
(330) 538-9822
(330) 538-9820
Mailing address
2675 N LIPKEY RD, NORTH JACKSON, OH 44451-9665
(330) 538-9822
(330) 538-9820
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
OH
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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