Organization
LOST CREEK CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNA NOONAN OTR/L (OCCUPATIONAL THERAPIST)
(614) 563-4713
Entity
Organization
Contact information
Practice address
804 S MUMAUGH RD, LIMA, OH 45804-3569
(567) 712-7569
Mailing address
804 S MUMAUGH RD, LIMA, OH 45804-3569
(567) 712-7569
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005613
OH
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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