Organization
PERU OPERATING CO., LLC
Active
Organization
PERU OPERATING CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC ROSEDALE (PRESIDENT)
(513) 489-7100
Entity
Organization
Contact information
Practice address
3413 S WALLICK RD, PERU, IN 46970-7915
(513) 489-7100
Mailing address
4700 ASHWOOD DR STE 200, BLUE ASH, OH 45241-2424
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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