Organization
IPG RS LLC
Active
Other names
Lincolnway Behavior Health Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MAAG MASTERS (CEO)
(419) 692-2421
Entity
Organization
Contact information
Practice address
17872 LINCOLN HWY, MIDDLE POINT, OH 45863-9700
(419) 968-2950
(419) 968-2956
Mailing address
17872 LINCOLN HWY, MIDDLE POINT, OH 45863-9700
(419) 968-2950
(419) 968-2956
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2923555
—
OH
Enumeration date
08/15/2008
Last updated
09/08/2009
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