Organization
BCC ONTARIO OPERATIONS LLC
Active
Other names
Elmcroft of Ontario
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM P MULLOY II (CEO)
(502) 753-6000
Entity
Organization
Contact information
Practice address
2010 WALKER LAKE RD, MANSFIELD, OH 44906-1412
(419) 747-1119
(419) 747-4887
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2205R
OH
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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