Organization
FAIRMOUNT NURSING HOME INC
Active
Other names
Holly Hill Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE H OHMAN (PRESIDENT)
(440) 338-8220
Entity
Organization
Contact information
Practice address
10190 FAIRMOUNT ROAD, NEWBURY, OH 44065-0337
(440) 338-8220
(440) 564-5721
Mailing address
PO BOX 337, 10190 FAIRMOUNT ROAD, NEWBURY, OH 44065-0337
(440) 338-8220
(440) 564-5721
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
4192
OH
310400000X
Assisted Living Facility
4192
OH
313M00000X
Nursing Facility/Intermediate Care Facility
4192
OH
314000000X
Skilled Nursing Facility
Primary
4192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034359
—
OH
Enumeration date
11/14/2006
Last updated
06/12/2008
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