Organization
KINGSTON RESIDENCE OF VERMILION, LLC
Active
Parent organization
KINGSTON HEALTHCARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGSTON HEALTHCARE, INC
Authorized official
MR. LARRY NIRSCHL (TREASURER)
(419) 247-2824
Entity
Organization
Contact information
Practice address
6010 W LAKE RD, VERMILION, OH 44089-2838
(440) 967-2424
(440) 967-2669
Mailing address
1 SEAGATE, SUITE #1960, TOLEDO, OH 43604-1558
(419) 247-2880
(419) 247-2872
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2239R
OH
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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