Organization
AMHERST MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MALANOWSKI (PRESIDENT)
(440) 989-5200
Entity
Organization
Contact information
Practice address
175 N LAKE ST, AMHERST, OH 44001-1332
(440) 988-4415
(440) 988-5612
Mailing address
175 N LAKE ST, PO BOX 260, AMHERST, OH 44001-1332
(440) 988-4415
(440) 988-5612
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0416-HN
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156340
ANTHEM
OH
01
—
000000356999
ANTHEM PT
OH
01
—
000000357003
ANTHEM OT
OH
01
—
000000357004
ANTHEM ST
OH
05
—
0158887
—
OH
Enumeration date
10/26/2005
Last updated
06/09/2015
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