Healthcare Provider Details

I. General information

NPI: 1023576303
Provider Name (Legal Business Name): MAJESTIC CARE OF WHITEHALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 LANGLEY AVE
WHITEHALL OH
43213-6125
US

IV. Provider business mailing address

158-13 72ND AVENUE
FLUSHING NY
11365
US

V. Phone/Fax

Practice location:
  • Phone: 614-501-8271
  • Fax: 614-861-3033
Mailing address:
  • Phone: 614-501-8271
  • Fax:

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: HAYLEY B WILLIAMS
Title or Position: ATTORNEY
Credential:
Phone: 216-706-3936