Organization
CT OHIO PORTSMOUTH LLC
Active
Other names
Portsmouth Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL A MOERMAN (MANAGER)
(516) 865-1500
Entity
Organization
Contact information
Practice address
727 8TH ST, PORTSMOUTH, OH 45662-4020
(740) 354-8150
(740) 353-1826
Mailing address
727 8TH ST, PORTSMOUTH, OH 45662-4020
(740) 354-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141343
—
OH
Enumeration date
04/17/2018
Last updated
04/15/2025
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