Organization
WHITE OAK MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HETRICK (ADMINISTRATOR)
(330) 369-4672
Entity
Organization
Contact information
Practice address
1926 RIDGE AVE SE, WARREN, OH 44484-2821
(330) 369-4672
Mailing address
1926 RIDGE AVE SE, WARREN, OH 44484-2821
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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