Antonine Village

Organization Active NPI Assisted Living Facility · North Jackson, OH

NPI 1679967244 · NPPES record last updated Mar 23, 2015

Key facts

NPI
1679967244
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
ANTONINE VILLAGE
Practice address
2675 N Lipkey Rd
North Jackson, OH 44451-9665
Phone
(330) 538-9822
Fax
(330) 538-9820
NPI assigned
Mar 23, 2015
Organization subpart
No

Authorized official

Name
Marie Madeleine Iskandar
Title
President
Phone
(330) 538-9822

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X OH Yes

Addresses

Primary practice location

2675 N Lipkey Rd
North Jackson, OH 44451-9665

Mailing address

2675 N Lipkey Rd
North Jackson, OH 44451-9665
Phone (330) 538-9822

Other providers in North Jackson, OH

All providers in North Jackson, OH · Assisted Living Facility in Ohio

Sources for this page

Verify at the official NPI Registry.