Provider Demographics
NPI:1629335575
Name:MARTHA MANOR HOME
Entity Type:Organization
Organization Name:MARTHA MANOR HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-282-5623
Mailing Address - Street 1:408 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2018
Mailing Address - Country:US
Mailing Address - Phone:740-282-5623
Mailing Address - Fax:740-282-6087
Practice Address - Street 1:408 N 5TH ST
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2018
Practice Address - Country:US
Practice Address - Phone:740-282-5623
Practice Address - Fax:740-282-6087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH256310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility