NPI 1164634085

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Organisation Assisted Living Facility Chesapeake, OH

Practice location

Address: 304 3rd Ave, Chesapeake, OH 45619
Phone: (740) 867-4160
Fax: (740) 867-4162

Authorised official

Name: Phyllis Ann Copley
Title: Adm Owner
Phone: (740) 867-4160

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1164634085
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 22 Aug 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.