Organization
BLC SPRINGFIELD-GC, LLC
Active
Other names
Grand Court Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J SCHULTE (CEO)
(312) 977-3700
Entity
Organization
Contact information
Practice address
2981 VESTER AVE, SPRINGFIELD, OH 45503-1565
(937) 399-1216
Mailing address
2981 VESTER AVE, SPRINGFIELD, OH 45503-1565
(937) 399-1216
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1986R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
OH
Enumeration date
07/27/2007
Last updated
07/27/2007
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