Organization
SANCTUARY AT TUTTLE CROSSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C BANASIK PHD (PRESIDENT)
(614) 299-3100
Entity
Organization
Contact information
Practice address
4880 TUTTLE RD, DUBLIN, OH 43017-7530
(614) 336-4182
(614) 336-4187
Mailing address
PO BOX 8309, 1207 N HIGH ST, COLUMBUS, OH 43201-0309
(614) 299-3100
(614) 299-3813
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077498
—
OH
Enumeration date
08/31/2005
Last updated
05/21/2008
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