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General NPI Number Information
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NPI Number | 1124068994
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Entity Type | Organization
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Legal Business Name | CASTLE NURSING HOMES, INC.
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 8067 TOWNSHIP ROAD 334
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City | MILLERSBURG
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State | OH
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Zip | 44654-9171
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Country | US
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Telephone | 330-674-0015
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Fax | 330-763-2230
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Provider Business Mailing Address
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Address Line | 6967 DEER TRAIL AVE NE
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City | CANTON
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State | OH
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Zip | 44721-2069
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Country | US
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Telephone | 330-936-7158
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOE ALTIERI
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Credential |
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Telephone | 330-936-7158
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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 | 2475
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License Number State | OH
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