| NPI | 1851497986 |
|---|---|
| Doing Business As | NATIONAL CHURCH RESIDENCES BATH ROAD |
| Doing Business As | TRADITIONS AT PORTAGE TRAIL VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SUSAN DIMICKELE President 614-451-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-02-09 |