PV SNF LLC

Skilled Nursing Facility · Sidney, OH

Organization Active NPI

NPI number 1114301371

Practice location

705 Fulton St
Sidney, OH 45365-3203
Phone
(937) 492-9591
Fax
(937) 498-0529

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NPI record

NPI
1114301371
Entity type
Organization (Type 2)
Enumeration date
July 16, 2015
Last updated
July 16, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Bruce E Wertheim
Title
Manager
Phone
(917) 919-7204

Other names

  • The Pavilion

About PV SNF LLC

PV SNF LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 705 Fulton St, Sidney, OH 45365-3203. The NPI number 1114301371 was assigned on July 16, 2015 and the record was last updated on July 16, 2015.

The authorized official for this organization is Bruce E Wertheim, Manager.

Frequently asked questions

What is the NPI number of PV SNF LLC?

The NPI number is 1114301371.

What is the phone number of PV SNF LLC?

The phone number listed for the practice location is (937) 492-9591.

Where is PV SNF LLC located?

705 Fulton St, Sidney, OH 45365-3203.

What is the taxonomy code for PV SNF LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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