Organization · Type 2 NPI

The Centrum at Willow Brook , Inc

Assisted Living Facility · Delaware, OH

NPI number 1376792440 Active

Practice location

100 Willow Brook Way So.
Delaware, OH 43015-3249

Fax (740) 369-7034

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	5176 (OH)

Assisted Living Facility: 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.

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NPI record

NPI: 1376792440
Entity type: Organization (Type 2)
Issued: Sep 15, 2008
Last updated: Sep 15, 2008
Status: Active
Subpart: Yes of Willow Brook Christian Services

Other names

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The Centrum Assisted Living · doing business as

Authorized official

Mrs. Susan Kay Eleak, R.N.
Centrum Manager
(740) 368-4696

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376792440

The Centrum at Willow Brook , Inc's National Provider Identifier is 1376792440, issued on Sep 15, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Delaware, OH. The record was last updated on Sep 15, 2008.