Organization
LIVING CARE ALTERNATIVES OF KIRKERSVILLE INC
Active
Other names
Pine Kirk Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J ROSSER (PRESIDENT)
(614) 890-2900
Entity
Organization
Contact information
Practice address
205 E MAIN ST, KIRKERSVILLE, OH 43033
(740) 927-3209
(740) 927-4822
Mailing address
855 S SUNBURY RD, WESTERVILLE, OH 43081
(614) 890-2900
(614) 898-1993
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
4176
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6948503
—
OH
Enumeration date
02/15/2006
Last updated
02/06/2008
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