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Organization

PORTAGE COUNTY AUDITOR

Active
Parent organization
PORTAGE COUNTY AUDITOR
Other names
The Woodlands at Robinson
Organization subpart
Yes

Provider details

NPI number
Legal business name
PORTAGE COUNTY AUDITOR
Authorized official
MS. SUSAN M DOHERTY LNHA (ADMINISTRATOR)
(330) 297-4564
Entity
Organization

Contact information

Practice address
6831 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-4564
(330) 298-4530
Mailing address
6831 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-4564
(330) 298-4530

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2256026
OH
Enumeration date
02/08/2007
Last updated
06/28/2012
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