Organization
WELLINGTON MANOR NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY JUSTICE LNHA RN (OWNER ADMINISTRATOR PRESIDENT)
(440) 647-2259
Entity
Organization
Contact information
Practice address
116 PROSPECT ST, WELLINGTON, OH 44090-1228
(440) 647-3910
(440) 647-4332
Mailing address
PO BOX 393, WELLINGTON, OH 44090-0393
(440) 647-2259
(440) 647-4332
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
36E851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9318858
—
OH
Enumeration date
11/29/2006
Last updated
08/22/2020
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