NPI 1093315103

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Organisation Adult Care Home Facility Mansfield, OH

Practice location

Address: 121 Wolf Rd, Mansfield, OH 44903-8739
Phone: (419) 589-3566

Authorised official

Name: Mitzi Lee Murphy
Title: Administrator
Phone: (419) 589-3566

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1093315103
Entity type: Organization
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 2020

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.