Organization
OMNI MANOR, INC.
Active
Other names
OMNI WEST ASSISTED LIVING RESIDENCE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADELINE LOUISE D'AGOSTINO LPN (DIRECTOR)
(330) 793-4404
Entity
Organization
Contact information
Practice address
3259 VESTAL RD, YOUNGSTOWN, OH 44509-1062
(330) 793-4404
(330) 793-0630
Mailing address
3259 VESTAL RD, YOUNGSTOWN, OH 44509-1062
(330) 793-4404
(330) 793-0630
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2022R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150284487
—
OH
Enumeration date
05/08/2007
Last updated
06/18/2008
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