Organization
THI OF OHIO AT HILLCREST LLC
Active
Other names
Hillcrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BOX (EVP)
(410) 773-1000
Entity
Organization
Contact information
Practice address
6674 STAFFORD RD SW, WASHINGTON COURT HOUSE, OH 43160-9770
(740) 335-6323
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349159
—
OH
Enumeration date
07/01/2006
Last updated
08/22/2020
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