Boulder Operations Holdings LLC
NPI #1871059428 in Lewis Center, Ohio
Provider Information
- NPI Number
- 1871059428
- Entity Type
- Organization
- Organization Name
- Boulder Operations Holdings LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 19, 2019
- Last Updated
- Feb 19, 2019
Practice Location
- Address
- 544 ENTERPRISE DR
- City
- Lewis Center
- State
- Ohio
- ZIP Code
- 43035-9704
- Phone
- (937) 825-6622
Authorized Official
- Name
- PAUL BERGSTEN
- Title
- MANGING MEMBER
- Phone
- (937) 825-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Skilled Nursing Facility |
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