Organization
COMMUNITY COMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY G BOONE LNHA (DIRECTOR)
(330) 394-3037
Entity
Organization
Contact information
Practice address
1340 MAHONING AVE NW, WARREN, OH 44483-2084
(330) 394-3037
(330) 395-0017
Mailing address
1340 MAHONING AVE NW, WARREN, OH 44483-2084
(330) 394-3037
(330) 395-0017
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2677410
—
ND
Enumeration date
03/01/2007
Last updated
08/22/2020
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