Organization
THE OHIO EASTERN STAR HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZANDRA LEIGH SMITH LNHA (CEO/ADMINISTRATOR)
(740) 397-1706
Entity
Organization
Contact information
Practice address
1451 GAMBIER RD, MOUNT VERNON, OH 43050-9112
(740) 397-1706
(740) 392-1662
Mailing address
1451 GAMBIER RD, MOUNT VERNON, OH 43050-9112
(740) 397-1706
(740) 392-1662
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037
HOME NUMBER
OH
Enumeration date
07/18/2005
Last updated
08/22/2020
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