Edgerton Long Term Care, Inc.

NPI #1912995176 in Edgerton, Ohio

Provider Information

NPI Number
1912995176
Entity Type
Organization
Organization Name
Edgerton Long Term Care, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 12, 2005
Last Updated
Jun 19, 2008

Practice Location

Address
328 W VINE ST
State
Ohio
ZIP Code
43517-9600
Phone
(419) 298-2321

Authorized Official

Name
MR. MICHAEL J SCHARFENBERGER, LNHA
Title
EXECUTIVE VICE PRESIDENT
Phone
(513) 793-8804

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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