| Organization Name: | FAIRMOUNT NURSING HOME INC |
| NPI Number: | 1144392523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE H OHMAN (PRESIDENT) |
| Mailing Address: | 10190 Fairmount Road Newbury |
| State: | OH US |
| Postal Code: | 440650337 |
| Phone Number: | 4403388220 |
| Fax Number: | 4405645721 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4192 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |