Organization
BUCKEYE FOREST AT PIQUA LLC
Active
Other names
Piqua Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DEGYANSKY (COO)
(330) 620-7828
Entity
Organization
Contact information
Practice address
275 KIENLE DR, PIQUA, OH 45356-4119
(937) 773-9346
Mailing address
5910 LANDERBROOK DR STE 150, MAYFIELD HEIGHTS, OH 44124-6506
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1778N
LICENSURE
OH
Enumeration date
11/04/2021
Last updated
12/10/2025
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