Organization
AUTUMN HEALTH CARE OF NEWARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE L. HITCHENS (PRESIDENT)
(740) 345-9199
Entity
Organization
Contact information
Practice address
17 FORRY STREET, NEWARK, OH 43055
(740) 349-8175
(740) 345-9289
Mailing address
17 FORRY STREET, NEWARK, OH 43055
(740) 349-8175
(740) 345-9289
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2555R
OH
314000000X
Skilled Nursing Facility
5545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053594
—
OH
Enumeration date
10/18/2005
Last updated
01/02/2015
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