Organization
FLINT RIDGE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
1450 W MAIN ST, NEWARK, OH 43055-1825
(740) 348-1300
(740) 344-3091
Mailing address
15 AMERICA AVE UNIT 304, LAKEWOOD, NJ 08701-4582
(513) 487-7479
(732) 276-5556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1489N
LICENSE
OH
Enumeration date
03/06/2019
Last updated
03/06/2019
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