Organization
RIDGECREST HEALTHCARE GROUP INC.
Active
Other names
White Oak Manor
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM I WEISBERG (ITS VP)
(216) 292-5706
Entity
Organization
Contact information
Practice address
1926 RIDGE AVE SE, WARREN, OH 44484-2821
(330) 369-4672
(330) 369-2367
Mailing address
1926 RIDGE AVE SE, WARREN, OH 44484-2821
(330) 369-4672
(330) 369-2367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0517N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2557282
—
OH
Enumeration date
08/31/2006
Last updated
08/22/2020
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