Provider Demographics
NPI:1124781844
Name:ALS HANNAS HOUSE INC
Entity type:Organization
Organization Name:ALS HANNAS HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-350-9095
Mailing Address - Street 1:26261 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:COOLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45723-9205
Mailing Address - Country:US
Mailing Address - Phone:740-415-1138
Mailing Address - Fax:201-661-2846
Practice Address - Street 1:1417 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-7973
Practice Address - Country:US
Practice Address - Phone:740-415-1138
Practice Address - Fax:201-661-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility