Ford Hull Mar Nursing Home, Inc

Organization Active NPI Skilled Nursing Facility · Yorkville, OH

NPI 1659585115 · NPPES record last updated Apr 17, 2014

Key facts

NPI
1659585115
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
5332 (OH)
Legal business name
FORD HULL MAR NURSING HOME, INC
Practice address
212 4TH St
Yorkville, OH 43971-1212
Phone
(740) 859-6496
Fax
(740) 859-7120
NPI assigned
May 10, 2007
Organization subpart
No

Authorized official

Name
Mr. Robert J Grendel, MBA, LSW
Title
Associate Administrator
Phone
(740) 859-6496

National Provider Directory

Locations

212 4th St
Yorkville, OH 43971
Phone (740) 859-6496

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5332 OH Yes

Addresses

Primary practice location

212 4TH St
Yorkville, OH 43971-1212

Mailing address

212 4TH St
Yorkville, OH 43971-1212
Phone (740) 859-6496

Other identifiers

IdentifierTypeStateIssuer
0223010MedicaidOH

Other names

  • Rosewood Manor Doing business as

Other providers in Yorkville, OH

All providers in Yorkville, OH · Skilled Nursing Facility in Ohio

Sources for this page

Verify at the official NPI Registry.