Organization
ZANDEX HEALTH CARE CORPORATION
Active
Other names
Willow Haven Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYLE W CLARK CFO (VP CFO)
(740) 588-2154
Entity
Organization
Contact information
Practice address
1020 TAYLOR STREET, ZANESVILLE, OH 43701
(740) 454-9747
(740) 455-7856
Mailing address
PO BOX 730, 1122 TAYLOR STREET, ZANESVILLE, OH 43702-0730
(740) 454-1400
(740) 454-7439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1611N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314010
—
OH
Enumeration date
10/06/2005
Last updated
11/13/2012
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