Organization
WHITEHALL ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J CRAIG (REGIONAL BOM)
(614) 753-3961
Entity
Organization
Contact information
Practice address
4801 E BROAD ST, WHITEHALL, OH 43213-1356
(614) 641-2995
Mailing address
160 W MAIN ST STE 200, NEW ALBANY, OH 43054-1189
(614) 863-4640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217748
—
OH
Enumeration date
06/19/2017
Last updated
09/10/2020
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