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General NPI Number Information
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NPI Number | 1679345334
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Entity Type | Organization
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Legal Business Name | UNITED CHURCH HOMES, INC., DBA THE PARKVUE COMMUNITY ON CATAWBA ISLAND
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 3896 E VINEYARD VILLAGE DR
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City | PORT CLINTON
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State | OH
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Zip | 43452-4131
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Country | US
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Telephone | 419-797-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 170 E CENTER ST
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City | MARION
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State | OH
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Zip | 43302-3815
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & GENERAL COUNSEL
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Name | MEGAN KELLEY
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Credential |
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Telephone | 740-223-2038
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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 |
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License Number State |
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