WICKSHIRE POLAND OPCO LLC NPI 1891302451

NPI Information

WICKSHIRE POLAND OPCO, LLC is an assisted living facility in Youngstown, 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. WICKSHIRE POLAND OPCO, LLC NPI is 1891302451. The provider is registered as an organization entity type.

The provider's business location address is:

335 W MCKINLEY WAY
YOUNGSTOWN, OH
ZIP 44514-681
Phone: (330) 707-1313

The provider's authorized official is Dan O'keefe .
The authorized official title is Ceo and has the following contact phone number (615) 942-0240.

The CLIA number assigned to this NPI record is 18D2152901 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2020 and was last updated on 9/28/2020.

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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