Organization
HENNIS CARE CENTRE OF DOVER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD D BAKER ACCOUNTANT (CONTROLLER)
(330) 364-8849
Entity
Organization
Contact information
Practice address
1720 N CROSS ST, DOVER, OH 44622-1043
(330) 364-8849
(330) 364-9158
Mailing address
1720 N CROSS ST, DOVER, OH 44622-1043
(330) 364-8849
(330) 364-9158
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1645R
OH
314000000X
Skilled Nursing Facility
Primary
1645N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2277316
—
OH
Enumeration date
06/06/2006
Last updated
01/11/2012
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