Organization
CARDINAL GAHANNA, INC.
Active
Other names
CREEKSIDE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ALTIERI (PRESIDENT)
(330) 936-7158
Entity
Organization
Contact information
Practice address
5151 N HAMILTON RD, COLUMBUS, OH 43230-1313
(614) 337-1066
(614) 337-1013
Mailing address
6967 DEER TRAIL AVE NE, CANTON, OH 44721-2069
(330) 936-7158
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1930N
OH
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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