Organization
BETH EVANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH A EVANS (LPN)
(740) 858-2018
Entity
Organization
Contact information
Practice address
1503 9TH ST, WEST PORTSMOUTH, OH 45663-5808
(740) 858-2018
Mailing address
1503 9TH ST, WEST PORTSMOUTH, OH 45663-5808
(740) 858-2018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140957
OH
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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