Organization
BOYD'S KINSMAN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA L. RUBY LNHA, QMRP (NURSING HOME ADMINISTRATOR)
(330) 876-5581
Entity
Organization
Contact information
Practice address
7929 STATE ROUTE #5, KINSMAN, OH 44428-0315
(330) 876-5581
Mailing address
PO BOX 315, 7929 STATE ROUTE #5, KINSMAN, OH 44428-0315
(330) 876-8804
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7810042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314047
—
OH
Enumeration date
07/13/2005
Last updated
08/22/2020
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