Organization
HOOBERRY & ASSOCIATES, INC.
Active
Other names
LAURIE ANN NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KOLESAR RN (ADMINISTRATOR)
(330) 872-1990
Entity
Organization
Contact information
Practice address
2200 MILTON BLVD, NEWTON FALLS, OH 44444-8746
(330) 872-1990
Mailing address
2200 MILTON BLVD, NEWTON FALLS, OH 44444-8746
(330) 872-1990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566890001
DMERC
OH
05
—
0640739
—
OH
Enumeration date
09/01/2006
Last updated
09/17/2009
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