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Organization

CRYSTAL CARE OF IRONTON, LLC

Active
Other names
Crystal Care of Coal Grove
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL B BERGSTEN (CEO)
(937) 825-6622
Entity
Organization

Contact information

Practice address
813 1/2 MARION PIKE, COAL GROVE, OH 45638-3070
(740) 532-0449
Mailing address
2968 JERICHO PL, DELAWARE, OH 43015-3175

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OH

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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