Organization
GREAT TRAIL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA SCHMIDT (ADMINISTRATOR)
(330) 868-4104
Entity
Organization
Contact information
Practice address
400 CAROLYN CT, MINERVA, OH 44657-8703
(330) 868-4104
(330) 868-7714
Mailing address
400 CAROLYN CT, MINERVA, OH 44657-8703
(330) 868-4104
(330) 868-7714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007303
—
OH
Enumeration date
10/17/2006
Last updated
08/22/2020
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