Organization
HIGHLAND OAKS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL B BERGSTEN (CEO)
(937) 825-6622
Entity
Organization
Contact information
Practice address
4114 N STATE ROUTE 376 NW, MCCONNELSVILLE, OH 43756-9145
(937) 825-6622
Mailing address
544 ENTERPRISE DR, LEWIS CENTER, OH 43035-9704
(937) 825-6622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2923
OH
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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