Organization
CANTON CHRISTIAN HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS STROBL (ADMINISTRATOR)
(330) 456-0004
Entity
Organization
Contact information
Practice address
2550 CLEVELAND AVE NW, CANTON, OH 44709-3306
(330) 456-0004
(330) 452-9951
Mailing address
2550 CLEVELAND AVE NW, CANTON, OH 44709-3306
(330) 456-0004
(330) 452-9951
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1618N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345237
—
OH
01
—
1618N
STATE LICENSE NUMBER
OH
01
—
1618R
RESCARE
OH
Enumeration date
08/04/2005
Last updated
07/01/2015
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