Organization
MEADOW WOOD CARE CENTER
Active
Other names
Meadow Wood Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CROUT NHA (ADMINISTRATOR)
(937) 378-3727
Entity
Organization
Contact information
Practice address
61 STEPHENS AVE, GEORGETOWN, OH 45121-9509
(937) 378-3727
(937) 378-3733
Mailing address
61 STEPHENS AVE, GEORGETOWN, OH 45121-9509
(937) 378-3727
(937) 378-3733
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2326245
—
OH
Enumeration date
08/25/2006
Last updated
07/12/2007
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