NPI 1861794356

Manor House

Organisation Assisted Living Facility Antwerp, OH

Practice location

Address: 204 Archer Dr, Antwerp, OH 45813
Phone: (419) 258-1500
Fax: (419) 258-1509
Mailing address: PO Box 759, Antwerp, OH 45813-0759

Authorised official

Name: Elaine Phillips
Title: Administrator
Phone: (419) 258-1312

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2449R (OH)

Other Assisted Living Facility providers in Ohio →

Registry record

NPI: 1861794356
Entity type: Organization
NPI issued: 3 Dec 2010
Record last updated: 13 Dec 2010

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.