Organization
OMNI MANOR, INC.
Active
Other names
O'Brien Memorial Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J MASTERNICK (OWNER)
(330) 545-1550
Entity
Organization
Contact information
Practice address
563 BROOKFIELD AVE, MASURY, OH 44438-1050
(330) 448-2557
(330) 448-0100
Mailing address
101 W LIBERTY ST, GIRARD, OH 44420-2844
(330) 545-1550
(330) 545-2444
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455387
—
OH
Enumeration date
08/08/2006
Last updated
01/22/2008
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