Organization
WEST LIBERTY CARE CENTER INC
Active
Parent organization
WEST LIBERTY CARE CENTER INC
Other names
Green Hills Inn
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST LIBERTY CARE CENTER INC
Authorized official
MICHAEL S RAY (CEO)
(937) 650-7103
Entity
Organization
Contact information
Practice address
6557 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9536
(937) 465-3895
Mailing address
6557 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9536
(937) 465-3895
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2965822
—
OH
Enumeration date
12/11/2020
Last updated
12/30/2020
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