Organization
DUBLIN CONVALARIUM OPERATING COMPANY, LLC
Active
Other names
Convalarium at Indian Run
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DEGYANSKY LNHA (VICE PRESIDENT OF OPERATIONS)
(330) 620-7828
Entity
Organization
Contact information
Practice address
6430 POST RD, DUBLIN, OH 43016-1226
(614) 761-1188
Mailing address
6430 POST RD, DUBLIN, OH 43016-1226
(614) 761-1188
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900R
LICENSURE
OH
Enumeration date
01/20/2021
Last updated
12/17/2024
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