MCKINLEY HEALTH CARE CENTER LLC
Assisted Living Facility
Canton, Ohio
Provider NPI: 1699886960
Organization Information:Organization Name: MCKINLEY HEALTH CARE CENTER LLC
Practice Location:
800 MARKET AVENUE NORTH SUITE 1560 CANTON, OH 44702 US
Tel: 330-456-1014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
800 MARKET AVENUE NORTH SUITE 1560 CANTON, OH 44702 US
Tel: 330-456-1014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OH | 1815R |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | OH | 1815N |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2130750 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin