Organization
ECHO MANOR EXTENDED CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED NIPER (COO)
(614) 864-1718
Entity
Organization
Contact information
Practice address
10270 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-9225
(614) 864-1718
(614) 864-2313
Mailing address
10270 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-9225
(614) 864-1718
(614) 864-2313
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467418
—
OH
Enumeration date
09/07/2006
Last updated
08/22/2020
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