Organization
MILLCREEK MANOR
Active
Organization
MILLCREEK MANOR
Active
Parent organization
MILLCREEK MANOR
Other names
Rural Health Clinic of Ashtabula
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
STEVEN GREGORY INMAN (DIRECTOR OF FINANCE)
(814) 868-8258
Entity
Organization
Contact information
Practice address
524 W 24TH ST, ASHTABULA, OH 44004-3423
(440) 997-6915
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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