Organization
KINGSTON NURSING HOME LTD
Active
Other names
KINGSTON HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY R ROBERTSON (CORP. OFFICE EXECUTIVE ASSISTANT)
(419) 526-0124
Entity
Organization
Contact information
Practice address
38 W 3RD ST, KINGSTON, OH 45644
(740) 642-2503
(740) 642-3656
Mailing address
PO BOX 477, KINGSTON, OH 45644-0477
(740) 642-2503
(740) 642-3656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460273
—
OH
Enumeration date
09/29/2005
Last updated
08/22/2020
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