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Organization
BOYD'S KINSMAN HOME, INC.
Active
Organization
BOYD'S KINSMAN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA L. RUBY LNHA, QMRP (NURSING HOME ADMINISTRATOR)
(330) 876-5581
Entity
Organization
Contact information
Practice address
7929 STATE ROUTE #5, KINSMAN, OH 44428-0315
(330) 876-5581
Mailing address
PO BOX 315, 7929 STATE ROUTE #5, KINSMAN, OH 44428-0315
(330) 876-8804
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7810042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314047
—
OH
Enumeration date
07/13/2005
Last updated
08/22/2020
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