Gaslite Villa Convalescent Center, Inc.
NPI #1508865767 in Canal Fulton, Ohio
Provider Information
- NPI Number
- 1508865767
- Entity Type
- Organization
- Organization Name
- Gaslite Villa Convalescent Center, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 20, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7055 HIGH MILL AVE NW
- City
- Canal Fulton
- State
- Ohio
- ZIP Code
- 44614-9344
- Phone
- (330) 854-4545
Authorized Official
- Name
- MS. CORITA C CHILDS, LNHA
- Title
- PRESIDENT
- Phone
- (330) 854-4545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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