WC-MARYSVILLE OPS LLC NPI 1538567995

NPI Information

NPI: 1538567995
Provider Name: WC-MARYSVILLE OPS, LLC

Doing Business As: CARRIAGE COURT OF MARYSVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
717 S WALNUT ST
MARYSVILLE, OH
ZIP 43040
Phone: (937) 642-2202
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WC-MARYSVILLE OPS, LLC is an assisted living facility in Marysville, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WC-MARYSVILLE OPS, LLC NPI is 1538567995. The provider is registered as an organization entity type.
The provider Is Doing Business As Carriage Court Of Marysville.

The provider's business location address is:

717 S WALNUT ST
MARYSVILLE, OH
ZIP 43040-639
Phone: (937) 642-2202
Fax: (937) 642-2202

The provider's authorized official is Kimberly Dumaine .
The authorized official title is Executive Director and has the following contact phone number (937) 642-2202.

The enumeration date for this NPI number is 12/16/2014 and was last updated on 12/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		2054R	OHIO	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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