Organization
ATHENS LTC, INC
Active
Other names
The Laurels of Athens
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
70 CIRCLE DRIVE, ATHENS, OH 45701
(614) 794-8800
Mailing address
70 COLUMBUS CIRCLE, ATHENS, OH 45701-1312
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050912
—
OH
01
—
OH05025
NURSING HOME LICENSE
OH
Enumeration date
06/28/2011
Last updated
11/16/2016
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