Organization
BROWN MEMORIAL HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D FOX LNHA, RN (ADMINISTRATOR)
(740) 474-6238
Entity
Organization
Contact information
Practice address
158 E MOUND ST, CIRCLEVILLE, OH 43113-1702
(740) 474-6238
(740) 474-6065
Mailing address
158 E MOUND ST, CIRCLEVILLE, OH 43113-1702
(740) 474-6238
(740) 474-6065
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1058N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510298
—
OH
Enumeration date
07/09/2006
Last updated
08/22/2020
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