Millcreek Manor

NPI #1861266975 in Ashtabula, Ohio

Provider Information

NPI Number: 1861266975
Entity Type: Organization
Organization Name: Millcreek Manor
Subpart: Yes (part of a larger organization)
Parent Organization: MILLCREEK MANOR
Primary Specialty: Clinic/Center
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 524 W 24TH ST
City: Ashtabula
State: Ohio
ZIP Code: 44004-3423
Phone: (440) 997-6915

Authorized Official

Name: STEVEN GREGORY INMAN
Title: DIRECTOR OF FINANCE
Phone: (814) 868-8258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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