Provider Demographics
NPI:1285902098
Name:ZANDEX HEALTH CARE CORPORATION
Entity type:Organization
Organization Name:ZANDEX HEALTH CARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STOEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-454-1400
Mailing Address - Street 1:1122 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2658
Mailing Address - Country:US
Mailing Address - Phone:740-454-1400
Mailing Address - Fax:740-454-7439
Practice Address - Street 1:1126 ADAIR AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2804
Practice Address - Country:US
Practice Address - Phone:740-452-2087
Practice Address - Fax:740-452-4076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZANDEX HEALTH CARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility