Organization
OHIO LIVING COMMUNITIES
Active
Other names
Ohio Living Park Vista
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE C GUMINA (CORPORATE MANAGER MANAGED CARE)
(614) 888-7800
Entity
Organization
Contact information
Practice address
1216 5TH AVE, YOUNGSTOWN, OH 44504-1605
(330) 746-2944
(330) 746-3427
Mailing address
1001 KINGSMILL PKWY, COLUMBUS, OH 43229-1129
(614) 888-7800
(614) 888-6864
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1450N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210670
ANTHEM BC/BS
OH
05
—
0200400
—
OH
Enumeration date
09/23/2005
Last updated
01/27/2019
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