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General NPI Number Information
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NPI Number | 1376073627
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Entity Type | Organization
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Legal Business Name | OHIO LIVING QUAKER HEIGHTS
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 514 HIGH ST
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City | WAYNESVILLE
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State | OH
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Zip | 45068-9784
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Country | US
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Telephone | 513-897-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 WORTHINGTON RD STE 300
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City | WESTERVILLE
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State | OH
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Zip | 43082-7240
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Country | US
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Telephone | 614-888-7800
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Fax | 614-888-6864
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Authorized Official
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Title or Position | CFO
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Name | ROBERT B STILLMAN
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Credential |
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Telephone | 614-888-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 6347
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License Number State | OH
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