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Organization

CARROLL HEALTHCARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STACEY ALLEN HOWELL (NHA)
(330) 965-9200
Entity
Organization

Contact information

Practice address
648 LONGHORN STREET NW, CARROLITON, OH 44615-9471
(330) 627-5501
(330) 627-3649
Mailing address
648 LONGHORN ST NW, CARROLLTON, OH 44615-9469
(330) 627-5501
(330) 627-3649

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
5021
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0430028
OH
Enumeration date
12/19/2005
Last updated
08/20/2019
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