Organization
EAST CARROLL NURSING HOME INC
Active
Other names
Countryview Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE D MILLER LNHA (ADMINISTRATOR)
(330) 627-6900
Entity
Organization
Contact information
Practice address
2193 COMMERCE DRIVE, COUNTRYVIEW MANOR, CARROLLTON, OH 44615
(330) 627-6900
(330) 627-9036
Mailing address
2193 COMMERCE DRIVE, COUNTRYVIEW MANOR, CARROLLTON, OH 44615
(330) 627-6900
(330) 627-9036
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2443N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2654122
—
OH
Enumeration date
12/20/2006
Last updated
08/22/2020
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