Organization
ANNE GRADY COPORATION
Active
Other names
Hill Avenue ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER FORTENER (ASSOC EXECUTIVE DIRECTOR)
(419) 866-6500
Entity
Organization
Contact information
Practice address
4154 HILL AVENUE, TOLEDO, OH 43615-2306
(419) 866-6500
(419) 866-7457
Mailing address
1525 EBER RD, HOLLAND, OH 43528-9616
(419) 866-6500
(419) 866-7457
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
09/10/2020
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