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Organization

FOUNTAIN PARK INN, BUCYRUS

Active
Parent organization
FOUNTAIN PARK INN& VILLAS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FOUNTAIN PARK INN& VILLAS, LLC
Authorized official
MRS. SHEILA LYNN SABO (OWNER)
(941) 270-7627
Entity
Organization

Contact information

Practice address
500 WEDGEWOOD CT, BUCYRUS, OH 44820-3493
(419) 562-6080
(419) 562-5080
Mailing address
500 WEDGEWOOD CT, BUCYRUS, OH 44820-3493
(419) 562-6080
(419) 562-5080

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2430R
OH

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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