Organization
DUBLIN CONVALARIUM OPERATING COMPANY, LLC
Active
Other names
The Convalarium
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
1661 OLD HENDERSON RD, COLUMBUS, OH 43220-3644
(614) 459-0445
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900N
LICENSURE
OH
Enumeration date
06/22/2020
Last updated
12/17/2024
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