Fostoria Snf Opco LLC

NPI #1619846904 in Fostoria, Ohio

Provider Information

NPI Number
1619846904
Entity Type
Organization
Organization Name
Fostoria Snf Opco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 4, 2025
Last Updated
Nov 4, 2025

Practice Location

Address
1000 INDEPENDENCE AVE
State
Ohio
ZIP Code
44830-9614
Phone
(419) 435-8505

Authorized Official

Name
NICHOLAS DESTEFANE
Title
PRESIDENT
Phone
(314) 543-3800

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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