Organization
CONSULTATIVE PHYSICAL MEDICINE & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. MINOR D.O. (OWNER)
(740) 594-7310
Entity
Organization
Contact information
Practice address
HICKORY CREEK OF ATHENS, THE PLAINS, OH 45780
(740) 797-4561
(740) 797-3614
Mailing address
1641 N MEMORIAL DR # 121, LANCASTER, OH 43130-1632
(740) 594-7310
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0102202192
VA
314000000X
Skilled Nursing Facility
176034
NY
314000000X
Skilled Nursing Facility
25MB05670800
NJ
314000000X
Skilled Nursing Facility
Primary
34.008368
OH
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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