Organization
OMNI MANOR, INC.
Active
Other names
LIBERTY ARMS ASSISTED LIVING RESIDENCE
Organization subpart
No
Provider details
NPI number
Authorized official
JODI MITCHELL RN (DIRECTOR)
(330) 759-2893
Entity
Organization
Contact information
Practice address
1353 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1380
(330) 759-2893
(330) 759-2920
Mailing address
1353 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1380
(330) 759-2893
(330) 759-2920
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113R
STATE FACILITY NUMBER
OH
01
—
5639
STATE LICENSE NUMBER
OH
Enumeration date
06/25/2007
Last updated
06/18/2008
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