925 Wagner Operating LLC
Organization Active NPI Skilled Nursing Facility · Galion, OH
NPI 1437336344 · NPPES record last updated Dec 2, 2009
Key facts
- NPI
- 1437336344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 925 WAGNER OPERATING LLC
- Practice address
- 925 Wagner Ave
Galion, OH 44833-1535 - Phone
- (419) 468-1090
- NPI assigned
- Jan 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Theodore M Duay III, C.P.A.
- Title
- Chief Financial Officer
- Phone
- (786) 888-3310
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
925 Wagner Ave
Galion, OH 44833-1535
Mailing address
1055 NE 125TH St
North Miami, FL 33161-5804
Phone (786) 888-3310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2813629 | Medicaid | OH |
Other names
- Village Care Center
Other providers in Galion, OH
- Mashhour Marzooq a Alqurashi
- Katherine Amstutz
- Guillermo V Amurao
- Maranda Myria Andrulis
- Brice Anthony Arnold
All providers in Galion, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.