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General NPI Number Information
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NPI Number | 1750353363
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Entity Type | Organization
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Legal Business Name | ALTERCARE OF HARTVILLE CENTER FOR REHABILITATION & NURSING CARE, INC
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1420 SMITH KRAMER ST NE
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City | HARTVILLE
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State | OH
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Zip | 44632-8730
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Country | US
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Telephone | 330-877-2666
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | GREEN
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State | OH
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Zip | 44232-0550
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Country | US
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Telephone | 330-498-8101
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Fax | 330-498-8108
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Authorized Official
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Title or Position | VP FINANCE/CONTROLLER
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Name | MISS KATHLEEN R JOHNSON
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Credential |
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Telephone | 330-498-5233
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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 | 6059
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License Number State | OH
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