Organization
ERIE COUNTY OFFICE OF AUDITOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PATRICK RN (ASST ADMINISTRATOR/DON)
(419) 627-8733
Entity
Organization
Contact information
Practice address
3916 PERKINS AVE, HURON, OH 44839-1059
(419) 627-8733
(419) 627-1614
Mailing address
3916 PERKINS AVE, HURON, OH 44839-1059
(419) 627-8733
(419) 627-1614
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
OH
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318856
—
OH
Enumeration date
10/04/2005
Last updated
09/28/2017
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