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Organization

WEXNER HERITAGE VILLAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ROSEN LNHA (CHIEF EXECUTIVE OFFICER)
(614) 231-4900
Entity
Organization

Contact information

Practice address
1151 COLLEGE AVE, COLUMBUS, OH 43209-2827
(614) 231-4900
(614) 384-2278
Mailing address
1151 COLLEGE AVE, COLUMBUS, OH 43209-2827
(614) 231-4900
(614) 338-2399

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0967NH
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0034322
OH
Enumeration date
10/06/2005
Last updated
05/17/2010
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