Healthcare Provider Details

I. General information

NPI: 1174487250
Provider Name (Legal Business Name): OTTERBEIN CORTLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N MECCA ST
CORTLAND OH
44410-1074
US

IV. Provider business mailing address

3855 LOWER MARKET ST STE 300
LEBANON OH
45036-7654
US

V. Phone/Fax

Practice location:
  • Phone: 513-932-2020
  • Fax:
Mailing address:
  • Phone: 513-932-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AMBER SWORDS
Title or Position: AVP OF FINANCE
Credential:
Phone: 513-932-2020