Liberty Nursing Center of Jamestown
Organization Active NPI Pediatric Skilled Nursing Facility · Jamestown, OH
NPI 1104855220 · NPPES record last updated Jan 22, 2008
Key facts
- NPI
- 1104855220
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Skilled Nursing Facility 3140N1450X
- License
- 6012 (OH)
- Legal business name
- LIBERTY NURSING CENTER OF JAMESTOWN
- Practice address
- 4960 Old US Route 35 E
Jamestown, OH 45335-1712 - Phone
- (937) 675-3311
- Fax
- (937) 675-2333
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda Black-Kurek
- Title
- President
- Phone
- (937) 296-1550
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 6012 | OH | Yes |
Addresses
Primary practice location
4960 Old US Route 35 E
Jamestown, OH 45335-1712
Mailing address
7445 Liberty Woods LN
Dayton, OH 45459-3911
Phone (937) 675-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2244904 | Medicaid | OH |
Other providers in Jamestown, OH
- Joyce Elaine-Blackmer Hull
- IHS Pharmacy & Wellness Center
- Brian Scott Jenks
- Susan K Jordan
- Denise R Kennedy
- Darrell Clark McQuary
- Angelia M Mickle
- Kimberly Lynn Murray
- Mvhe Inc
- Amber Dawn Oxley
All providers in Jamestown, OH · Pediatric Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.