Organization
CARLISLE MANOR HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABE WAGSCHAL (PRESIDENT/OWNER)
(937) 746-2662
Entity
Organization
Contact information
Practice address
730 HILLCREST AVE, CARLISLE, OH 45005-3305
(937) 746-2662
(937) 746-8204
Mailing address
730 HILLCREST AVE, CARLISLE, OH 45005-3305
(937) 746-2662
(937) 746-8204
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053749
—
OH
01
—
3134
NURSING HOME LICENSE #
OH
Enumeration date
07/14/2005
Last updated
08/22/2020
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