APOSTOLIC CHRISTIAN COUNTRY VILLA NPI 1023249752

NPI Information

APOSTOLIC CHRISTIAN COUNTRY VILLA is an assisted living facility in Paulding, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. APOSTOLIC CHRISTIAN COUNTRY VILLA NPI is 1023249752. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Inn.

The provider's business location address is:

12651 ROAD 82
PAULDING, OH
ZIP 45879-545
Phone: (419) 399-2345
Fax: (419) 399-2341

The provider's authorized official is Paula Nuest .
The authorized official title is Administrator and has the following contact phone number (419) 399-2345.

The CLIA number assigned to this NPI record is 36D2198768 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 7/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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