Organization
CRYSTAL CARE CENTER OF ASHLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY W. SMITH (OWNER)
(419) 281-9595
Entity
Organization
Contact information
Practice address
1251 E MAIN ST, ASHLAND, OH 44805-2810
(419) 281-9595
(419) 282-9609
Mailing address
1251 E MAIN ST, ASHLAND, OH 44805-2810
(419) 281-9595
(419) 282-9609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6197
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304929
—
OH
Enumeration date
06/01/2005
Last updated
05/01/2012
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