Organization
STEUBENVILLE COUNTRY CLUB MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J BOLGER (ADMINISTRATOR)
(740) 266-6118
Entity
Organization
Contact information
Practice address
575 LOVERS LN, STEUBENVILLE, OH 43953-3311
(740) 266-6118
(740) 264-8898
Mailing address
575 LOVERS LN, STEUBENVILLE, OH 43953-3311
(740) 266-6118
(740) 264-8898
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6136
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314650
—
OH
Enumeration date
09/29/2005
Last updated
08/22/2020
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