Organization
SMITH NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM SMITH (ADMINISTRATOR)
(330) 456-9070
Entity
Organization
Contact information
Practice address
2330 PENN PL NE, CANTON, OH 44704-2266
(330) 456-9070
(330) 456-2849
Mailing address
2330 PENN PL NE, CANTON, OH 44704-2266
(330) 456-9070
(330) 456-2849
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
3135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8224308
—
OH
Enumeration date
11/07/2006
Last updated
08/22/2020
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