Organization
MCKENNA HEALTHCARE, LLC
Active
Other names
Crystal Care Center of Portsmouth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WAYNE SMITH LNHA (OWNER)
(419) 565-7554
Entity
Organization
Contact information
Practice address
1319 SPRING ST, PORTSMOUTH, OH 45662-3715
(740) 354-6619
Mailing address
1319 SPRING ST, PORTSMOUTH, OH 45662-3715
(740) 354-6619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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