Organization
IHS ACQUISITION NO 124 INC
Active
Other names
Washington Square Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMAR HOPKINS (DIRECTOR ACCOUNTING & REIMBURSEMENT)
(443) 539-2362
Entity
Organization
Contact information
Practice address
202 WASHINGTON ST NW, WARREN, OH 44483-4735
(330) 399-8997
(330) 393-5889
Mailing address
202 WASHINGTON ST NW, WARREN, OH 44483-4735
(330) 399-8997
(330) 393-5889
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2570776
—
OH
Enumeration date
12/23/2005
Last updated
09/04/2007
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