| Anthonys Villa Inc | |
|
1031 Pierce St Ste 306 Sandusky OH 44870-4669 | |
| (567) 290-2658 | |
| Not Available |
| Full Name | Anthonys Villa Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1031 Pierce St Ste 306, Sandusky, Ohio |
| Authorized Official Name and Position | Anthony Campbell (CEO) |
| Authorized Official Contact | 5672902658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthonys Villa Inc Po Box 337 Sandusky OH 44871-0337 Ph: (567) 290-2658 | Anthonys Villa Inc 1031 Pierce St Ste 306 Sandusky OH 44870-4669 Ph: (567) 290-2658 |
| NPI Number | 1053020685 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053020685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
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