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Contact Information

EDGEWOOD MANOR OF WELLSTON LLC
405 NORTH PARK AVENUE
WELLSTON, OH45692
 Phone: 740-384-5611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for EDGEWOOD MANOR OF WELLSTON LLC

NPI Number 1477071371
LBN Legal business name EDGEWOOD MANOR OF WELLSTON LLC
Authorized official ALEXANDER SHERMAN - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2017
Last updated 08/31/2017 - About 9 years ago
Identifiers
OH Other 1225N ODH HOME NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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