Baltic Avenue Enterprises, LLC
NPI #1134116130 in Lisbon, Ohio
Provider Information
- NPI Number
- 1134116130
- Entity Type
- Organization
- Organization Name
- Baltic Avenue Enterprises, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 4, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. TIMOTHY A CHESNEY
- Title
- OWNER/ADMINISTRATOR
- Phone
- (330) 424-3721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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