Organization
DEERFIELD NURSING CORPORATION
Active
Other names
The Vineyards at Concord
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES A. HICKS (PRESIDENT)
(740) 998-4777
Entity
Organization
Contact information
Practice address
119 HIGH ST., FRANKFORT, OH 45628-0312
(740) 998-4779
(740) 998-4801
Mailing address
PO BOX 312, FRANKFORT, OH 45628-0312
(740) 998-4779
(740) 998-4801
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
4494
OH
314000000X
Skilled Nursing Facility
Primary
2510N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174467
—
OH
05
—
2903004
—
OH
Enumeration date
11/02/2006
Last updated
02/18/2009
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