Healthcare Provider Details

I. General information

NPI: 1447275847
Provider Name (Legal Business Name): ARCADIA VALLEY SKILLED NURSING & REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25675 EAST MAIN ST
COOLVILLE OH
45723
US

IV. Provider business mailing address

2875 CENTER RD STE 6
BRUNSWICK OH
44212-2319
US

V. Phone/Fax

Practice location:
  • Phone: 740-667-3156
  • Fax: 740-667-0080
Mailing address:
  • Phone: 216-772-1105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1000N
License Number StateOH

VIII. Authorized Official

Name: BENJAMIN J PARSONS
Title or Position: PRESIDENT
Credential:
Phone: 216-772-1105