OrganizationActive
204 W. Main Street Operating Company, LLC
NPI 1457463556 · Skilled Nursing Facility · New London, OH
Provider details
- NPI number
- 1457463556
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Kevin Breslin, Executive Vice President - Cfo
Mailing address
204 W Main St
New London, OH 44851-1070
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.