Extendicare
NPI #1336579069 in West Jefferson, Ohio
Provider Information
- NPI Number
- 1336579069
- Entity Type
- Organization
- Organization Name
- Extendicare
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 15, 2013
- Last Updated
- Nov 15, 2013
Practice Location
- Address
- 375 W MAIN ST
- City
- West Jefferson
- State
- Ohio
- ZIP Code
- 43162-1298
- Phone
- (614) 879-7661
Authorized Official
- Name
- MR. ANTHONY WILLIAM LONG, MPT
- Title
- PT
- Phone
- (614) 432-6665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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