Healthcare Provider Details

I. General information

NPI: 1275977530
Provider Name (Legal Business Name): ALLIES HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59350 BATESVILLE ROAD STATE
QUAKER CITY OH
43773
US

IV. Provider business mailing address

59350 BATESVILLE ROAD STATE
QUAKER CITY OH
43773
US

V. Phone/Fax

Practice location:
  • Phone: 740-421-0983
  • Fax:
Mailing address:
  • Phone: 740-421-0983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number401295090911
License Number StateOH

VIII. Authorized Official

Name: MISS JUDITH ALEXANDRIA PATTERSON
Title or Position: OWNER/OPERATOR
Credential: STNA
Phone: 740-421-0983