Organization Name: | WEST LIBERTY CARE CENTER INC |
NPI Number: | 1487686218 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL S RAY (CEO) |
Mailing Address: | 6557 Us Highway 68 S West Liberty |
State: | OH US |
Postal Code: | 433579536 |
Phone Number: | 9374655065 |
Fax Number: | 9374654390 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 03/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 1637R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |