LIBERTY NURSING CENTER OF PORTSMOUTH INC
Nursing Care, Pediatric
Portsmouth, Ohio
Provider NPI: 1992734099
Organization Information:Organization Name: LIBERTY NURSING CENTER OF PORTSMOUTH INC
Practice Location:
727 8TH ST PORTSMOUTH, OH 45662 US
Tel: 740-354-8150 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:
727 8TH ST PORTSMOUTH, OH 45662 US
Tel: 740-354-8150 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | OH | 1899 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2440915 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin