Carriage Court Marysville, LLC

NPI #1457556334 in Marysville, Ohio

Provider Information

NPI Number
1457556334
Entity Type
Organization
Organization Name
Carriage Court Marysville, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 19, 2007
Last Updated
May 12, 2008

Practice Location

Address
717 S WALNUT ST
State
Ohio
ZIP Code
43040-1639
Phone
(937) 642-2202

Authorized Official

Name
MR. JOHN HOLTZ
Title
CONTROLLER
Phone
(541) 747-3373

Specialties & Taxonomy Codes

Specialty
Point of Service

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