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General NPI Number Information
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NPI Number | 1073994893
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Entity Type | Organization
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Legal Business Name | UNITED CHURCH HOMES, INC.
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 401 HARMAR ST
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City | MARIETTA
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State | OH
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Zip | 45750-2732
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Country | US
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Telephone | 740-376-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 401 HARMAR ST
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City | MARIETTA
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State | OH
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Zip | 45750-2732
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Country | US
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Telephone | 740-376-5600
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP/.GENERAL COUNSEL
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Name | MR. KENNETH L. YOUNG
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Credential |
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Telephone | 740-382-4885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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