Organization
MCKENNA HEALTHCARE OF PORTSMOUTH, INC.
Active
Other names
Crystal Care Center of Portsmouth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B. BERGSTEN LNHA (CEO)
(937) 825-6622
Entity
Organization
Contact information
Practice address
1319 SPRING ST, PORTSMOUTH, OH 45662-3715
(740) 354-6619
(740) 354-5710
Mailing address
1319 SPRING ST, PORTSMOUTH, OH 45662-3715
(740) 354-6619
(740) 354-5710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
11/03/2015
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