MEDICARE: ST LEONARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1194237222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST LEONARD

Provider Business Mailing Address
First Line	:	5942 RENAISSANCE PL STE A
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-4716
Country	:	US
Telephone Number	:	567-455-0414
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 CLYO RD
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-2720
Country	:	US
Telephone Number	:	937-433-0480
Fax Number	:

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	ALISA IFFLAND
Credential	:
Telephone Number	:	567-455-0414

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	10/30/2017

Similar Medicare Providers

1851387047 — ST LEONARD
Practice Location Address:

8100 CLYO RD
CENTERVILLE, OH
45458-2720

Practice Phone: 937-436-6317
Practice Fax: 937-439-7104

1396635082 — NOAH LEMASTER BELL
Practice Location Address:

8100 CLYO RD
CENTERVILLE, OH
45458-2720

Practice Phone: 937-433-0480
Practice Fax:

1710713045 — ST LEONARD
Practice Location Address:

8100 CLYO RD
DAYTON, OH
45458-2720

Practice Phone: 937-433-0480
Practice Fax:

1013913979 — JENNIFER L COVA D.O.
Practice Location Address:

896 S MAIN ST
CENTERVILLE, OH
45458-3439

Practice Phone: 937-433-6513
Practice Fax: 937-291-3398

1548252893 — DR. WILLIAM FISH MARSTELLER III D.C.
Practice Location Address:

145 S MAIN ST
CENTERVILLE, OH
45458-2370

Practice Phone: 937-433-4800
Practice Fax: 937-433-2618

1699767921 — HEATHER MORGAN MD INC
Practice Location Address:

138 S MAIN ST
CENTERVILLE, OH
45458-2368

Practice Phone: 937-439-1797
Practice Fax: 937-439-2329

Directions to “ST LEONARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.