OrganizationActive
Clyde Al, LLC
NPI 1285509539 · Assisted Living Facility · Clyde, OH
Provider details
- NPI number
- 1285509539
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jenna Poor, Regional Director(937) 638-3408
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
700 Coulson St
Clyde, OH 43410-2065
Phone: (419) 547-5267
Approximate (ZIP-level) locationGet directions
Mailing address
700 Coulson St
Clyde, OH 43410-2065
Registry dates
- Enumerated
- 2025-10-07
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.