NPI 1063117190

Legacy Perrysburg Operating Company, LLC

Organisation Skilled Nursing Facility Perrysburg, OH

Practice location

Address: 10540 Fremont Pike, Perrysburg, OH 43551-3356
Phone: (419) 874-7753
Fax: (440) 874-7753
Mailing address: 12380 Plaza Dr, Parma, OH 44130-1043

Authorised official

Name: Jim Taylor
Title: Ceo
Phone: (440) 590-0969

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Ohio →

Registry record

NPI: 1063117190
Entity type: Organization
NPI issued: 30 Mar 2023
Record last updated: 30 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.