Organization
ESSEX HEALTHCARE CORPORATION
Active
Other names
Evergreen Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JAMES YODER (CFO)
(614) 416-2662
Entity
Organization
Contact information
Practice address
924 CHARLIES WAY, MONTPELIER, OH 43543-1904
(419) 485-8307
Mailing address
1 EASTON OVAL, SUITE 300, COLUMBUS, OH 43219-6061
(614) 416-2662
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1513N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033758
—
OH
Enumeration date
09/26/2006
Last updated
08/22/2020
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