Healthcare Provider Details

I. General information

NPI: 1467470435
Provider Name (Legal Business Name): AUDRICH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AUDRICH SQ
BELLEVUE OH
44811-9700
US

IV. Provider business mailing address

670 FLAT ROCK RD
BELLEVUE OH
44811-9486
US

V. Phone/Fax

Practice location:
  • Phone: 419-483-6225
  • Fax: 419-483-0215
Mailing address:
  • Phone: 419-484-1111
  • Fax: 419-484-4048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1879N
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number1879R
License Number StateOH

VIII. Authorized Official

Name: MRS. MARY L TEBEAU
Title or Position: CORPORATE TREASURER
Credential: CFO
Phone: 419-484-1111