Organization
CHI LIVING COMMUNITIES
Active
Other names
Providence Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY DOLYK (VICE PRESIDENT OF OPERATIONS)
(567) 455-0414
Entity
Organization
Contact information
Practice address
2025 HAYES AVE, SANDUSKY, OH 44870-4739
(419) 627-2273
Mailing address
2025 HAYES AVE, SANDUSKY, OH 44870-4739
(419) 627-2273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1957N
OH
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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