INN AT OLENTANGYTRAIL MGT CO. LLC NPI 1831460195

NPI Information

INN AT OLENTANGYTRAIL MGT CO. LLC is an assisted living facility in Delaware, 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. INN AT OLENTANGYTRAIL MGT CO. LLC NPI is 1831460195. The provider is registered as an organization entity type.

The provider's business location address is:

36 CORDUROY RD
DELAWARE, OH
ZIP 43015-874
Phone: (740) 816-5009

The provider's authorized official is Carrie Mccarter .
The authorized official title is Executive Director and has the following contact phone number (740) 816-5009.

The CLIA number assigned to this NPI record is 36D2022916 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2012 and was last updated on 1/19/2012.

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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