Organization
UNITED CHURCH HOMES, INC.
Active
Other names
Fairhaven Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB WEISBRODT (VP IT SERVICES)
(740) 382-4885
Entity
Organization
Contact information
Practice address
850 MARSEILLES AVE, UPPER SANDUSKY, OH 43351-1648
(419) 294-4973
Mailing address
850 MARSEILLES AVE, UPPER SANDUSKY, OH 43351-1648
(419) 294-4973
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055407
—
OH
Enumeration date
12/07/2005
Last updated
08/22/2020
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