Organization
CONCORDIA OF OHIO
Active
Parent organization
CONCORDIA LUTHERN MINISTRIES
Other names
Concordia at Sumner
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCORDIA LUTHERN MINISTRIES
Authorized official
MS. CHARLENE KISH LNA (ADMINISTRATOR)
(330) 664-1360
Entity
Organization
Contact information
Practice address
970 SUMNER PKWY, COPLEY, OH 44321-1693
(330) 664-1360
(330) 664-1197
Mailing address
970 SUMNER PKWY, COPLEY, OH 44321-1693
(330) 664-1360
(330) 664-1197
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2389N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073403
—
OH
Enumeration date
10/19/2006
Last updated
03/06/2013
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