Provider Demographics
NPI:1801024427
Name:CARLIN HOUSE ASSISTED LIVING
Entity Type:Organization
Organization Name:CARLIN HOUSE ASSISTED LIVING
Other - Org Name:MORRISON HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LNHA; MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:EW
Authorized Official - Last Name:WILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-380-6383
Mailing Address - Street 1:12 CARLIN DR
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-9273
Mailing Address - Country:US
Mailing Address - Phone:740-380-6383
Mailing Address - Fax:740-380-1024
Practice Address - Street 1:12 CARLIN DR
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-9273
Practice Address - Country:US
Practice Address - Phone:740-380-6383
Practice Address - Fax:740-380-1024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRISON HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2415R310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility