Healthcare Provider Details

I. General information

NPI: 1043234446
Provider Name (Legal Business Name): UHRICHSVILLE HEALTH CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5166 SPANSON DR SE
UHRICHSVILLE OH
44683-1346
US

IV. Provider business mailing address

5166 SPANSON DR SE
UHRICHSVILLE OH
44683-1346
US

V. Phone/Fax

Practice location:
  • Phone: 740-922-2208
  • Fax: 740-922-0285
Mailing address:
  • Phone: 740-922-2208
  • Fax: 740-922-0285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOE ALTIERI
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 740-922-2208