Cridersville Nursing Home Operating Company, LLC
NPI #1689290082 in Cridersville, Ohio
Provider Information
- NPI Number
- 1689290082
- Entity Type
- Organization
- Organization Name
- Cridersville Nursing Home Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 22, 2020
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 603 E MAIN ST
- City
- Cridersville
- State
- Ohio
- ZIP Code
- 45806-2411
- Phone
- (419) 645-4468
Authorized Official
- Name
- MR. JEFFREY DEGYANSKY, LNHA
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (330) 620-7828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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