Organization
MILLCREEK MANOR
Active
Other names
Rural Health Clinic of Ashtabula
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA J TOPEL (CFO)
(814) 881-5234
Entity
Organization
Contact information
Practice address
524 W 24TH ST, ASHTABULA, OH 44004-3423
(440) 997-6915
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 881-5234
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
10/04/2023
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