Organization
NEWARK RESIDENT HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BURLEY (EXECUTIVE DIRECTOR)
(740) 345-7231
Entity
Organization
Contact information
Practice address
175 S WILLIAMS ST, NEWARK, OH 43055-3968
(740) 345-7231
(740) 345-9397
Mailing address
175 S WILLIAMS ST, NEWARK, OH 43055-3968
(740) 345-7231
(740) 345-9397
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906998
—
OH
Enumeration date
10/29/2020
Last updated
10/29/2020
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