Bristol Village Homes

NPI #1225248701 in Waverly, Ohio

Provider Information

NPI Number: 1225248701
Entity Type: Organization
Organization Name: Bristol Village Homes
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 621 E 5TH ST
City: Waverly
State: Ohio
ZIP Code: 45690-1505
Phone: (740) 647-8670

Authorized Official

Name: JERRY KUYOTH
Title: VICE PRESIDENT
Phone: (614) 451-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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