Organization
OHIO EASTERN STAR HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LAMSON LNHA (CEO/ADMINISTRATOR)
(740) 397-1706
Entity
Organization
Contact information
Practice address
1451 GAMBIER RD, MOUNT VERNON, OH 43050-9112
(740) 397-1706
(740) 392-1662
Mailing address
1451 GAMBIER RD, MOUNT VERNON, OH 43050-9112
(740) 397-1706
(740) 392-1662
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274804
—
OH
01
—
2064N
HCC #
OH
01
—
OH00709
FACILITY ID
OH
Enumeration date
07/18/2005
Last updated
05/14/2010
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