Individual
NANCY LEE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15069 MATVILLE RD, ORIENT, OH 43146-9725
(614) 554-2298
Mailing address
15069 MATVILLE RD, ORIENT, OH 43146-9725
(614) 554-2298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6502783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104751328699
—
OH
Enumeration date
11/04/2020
Last updated
11/04/2020
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