Healthcare Provider Details

I. General information

NPI: 1124895495
Provider Name (Legal Business Name): SAL OPERATING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 OBETZ RD
COLUMBUS OH
43207-4098
US

IV. Provider business mailing address

433 OBETZ RD
COLUMBUS OH
43207-4098
US

V. Phone/Fax

Practice location:
  • Phone: 614-491-2000
  • Fax:
Mailing address:
  • Phone: 614-491-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: YEHUDA WENGER
Title or Position: MANAGER
Credential:
Phone: 732-814-1505