Organization
COUNTY OF ASHTABULA
Active
Other names
Ashtabula County Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA WILLIAMS LNHA (ADMINISTRATOR)
(440) 224-2161
Entity
Organization
Contact information
Practice address
5740 DIBBLE RD, KINGSVILLE, OH 44048-9809
(440) 224-2161
(440) 224-2166
Mailing address
5740 DIBBLE RD, KINGSVILLE, OH 44048-9809
(440) 224-2161
(440) 224-2166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N/A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237836
—
OH
Enumeration date
06/09/2005
Last updated
08/23/2010
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