Organization
GILLETTE NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS A STEIN (DIRECTOR OF OPERATIONS)
(330) 372-1960
Entity
Organization
Contact information
Practice address
3310 ELM RD NE, WARREN, OH 44483-2614
(330) 372-1960
(330) 372-6132
Mailing address
3310 ELM RD NE, WARREN, OH 44483-2614
(330) 372-1960
(330) 372-6132
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668264
—
OH
Enumeration date
09/20/2006
Last updated
03/15/2012
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