Omni Manor, INC.
Skilled Nursing Facility in Columbiana, OH. Organization (NPI-2).
NPI number1790795201
StatusActive
Last updated in NPPESJan 22, 2008
Details
- NPI
- 1790795201
- Entity type
- Organization (NPI-2)
- Legal business name
- Omni Manor, INC.
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Jan 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Parkside Health Care Center (Doing Business As)
Practice location
930 E Park AveColumbiana, OH 44408-1452
Phone 330-482-5547 · Fax 330-482-0003
Mailing address
101 W Liberty StGirard, OH 44420-2844
Phone 330-545-1550 · Fax 330-545-2444
Authorized official
John J Masternick
Owner
3305451550
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