Organization
OMNI MANOR, INC.
Active
Other names
Windsor House At Canfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J. MASTERNICK (OWNER/PRESIDENT)
(330) 545-1550
Entity
Organization
Contact information
Practice address
6445 STATE ROUTE 446, CANFIELD, OH 44406-8475
(330) 967-4080
(330) 967-4103
Mailing address
101 W LIBERTY ST, GIRARD, OH 44420-2844
(330) 545-1550
(330) 545-2444
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250097
—
OH
Enumeration date
08/30/2017
Last updated
02/15/2018
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