Organization
LIBERTY NURSING CENTER OF JAMESTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK-KUREK (PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
4960 OLD US ROUTE 35 E, JAMESTOWN, OH 45335-1712
(937) 675-3311
(937) 675-2333
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
(937) 675-3311
(937) 675-2333
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
6012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244904
—
OH
Enumeration date
07/01/2006
Last updated
01/22/2008
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