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NPI Code Detail

MEDICARE: HCF OF BURTON'S RIDGE, INC.

MEDICARE: HCF OF BURTON'S RIDGE, INC.
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
1310400000XAssisted Living Facility2185ROH

General Provider Information

NPI Number : 1497769137
Entity Type Code : Organization
Provider Name (Legal Business Name) : HCF OF BURTON'S RIDGE, INC.
Provider Business Mailing Address
First Line : 2651 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3730
Country : US
Telephone Number : 419-228-8412
Fax Number : 419-228-8612
Provider Business Practice Location Address
First Line : 2651 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3730
Country : US
Telephone Number : 419-228-8412
Fax Number : 419-228-8612
Authorized Official
Title or Position : DIRECTOR - CORPORATE COMPLIANCE
Name : MR. RYAN STECHSCHULTE
Credential :
Telephone Number : 419-999-2010
Provider Enumeration Date : 07/28/2006
Last Update Date : 10/16/2012

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Directions to “HCF OF BURTON'S RIDGE, INC. ” Practice Location

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