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LOCUST RIDGE NURSING HOME INC

Alzheimer Center

Williamsburg, Ohio

Provider NPI: 1154419869

Organization Information:
Organization Name:  LOCUST RIDGE NURSING HOME INC


Practice Location:
12745 ELM CORNER RD  WILLIAMSBURG, OH 45176 US
Tel: 937-444-2920  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
OH0771N
X313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
OH0771N
X314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OH0771N

Other Provider Identifiers:

IssuerNumberStateType
0071952OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS OH - Page 1



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