Locust Ridge Nursing Home Inc

NPI 1154419869

Information of Locust Ridge Nursing Home Inc

The NPI 1154419869 is an Organization type. NPI No 1154419869 belongs to Locust Ridge Nursing Home Inc. Locust Ridge Nursing Home Inc specializes in Alzheimer Center (Dementia Center). is practising at 12745 Elm Corner Rd, Williamsburg, Ohio 45176. You can also contact him via phone number (937) 444-2920.

Practice address located

  • 12745 Elm Corner Rd
  • Williamsburg, Ohio 45176
  • (937) 444-2920
  • (937) 444-2920

Mailling address located

  • 12745 Elm Corner Rd
  • Williamsburg, Ohio 45176
  • (937) 444-2920
  • (937) 444-1009
Locust Ridge Nursing Home Inc is PECOS enrolled.
NPI No 1154419869
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
n/a311500000XAlzheimer Center (Dementia Center)0771NOhio
n/a313M00000XNursing Facility/Intermediate Care Facility0771NOhio
n/a314000000XSkilled Nursing Facility0771NOhio
Identifier for this provider
StateIdentifierTypeIssuer
OH365336Medicare ID-Type Unspecifiedn/a
OH0071952Medicaidn/a
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