Grand Lake Operations
NPI #1699326751 in Saint Marys, Ohio
Provider Information
- NPI Number
- 1699326751
- Entity Type
- Organization
- Organization Name
- Grand Lake Operations
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 1035 HAGER STREET
- City
- Saint Marys
- State
- Ohio
- ZIP Code
- 45885
- Phone
- (419) 394-3308
Authorized Official
- Name
- MARK S MCCLEERY, CPA
- Title
- CFO
- Phone
- (419) 238-0715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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