Provider Demographics
NPI:1851590418
Name:OHIO VALLEY MANOR INC
Entity Type:Organization
Organization Name:OHIO VALLEY MANOR INC
Other - Org Name:OHIO VALLEY MANOR HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BALZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-392-4318
Mailing Address - Street 1:5280 RTS 62-68
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:45167
Mailing Address - Country:US
Mailing Address - Phone:937-392-4318
Mailing Address - Fax:937-392-4568
Practice Address - Street 1:5280 ST RTS 62/68
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:OH
Practice Address - Zip Code:45167
Practice Address - Country:US
Practice Address - Phone:937-392-4318
Practice Address - Fax:937-392-4568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health