Basic Information
| Provider Information | |||||||||
| NPI: | 1831630912 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALECTO HEALTHCARE SERVICES MARTINS FERRY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16310 BAKE PKWY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926184684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497833976 | ||||||||
| FaxNumber: | 9497833987 | ||||||||
| Practice Location | |||||||||
| Address1: | 90 N 4TH ST | ||||||||
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| City: | MARTINS FERRY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439351648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406331100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2017 | ||||||||
| LastUpdateDate: | 05/04/2017 | ||||||||
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| AuthorizedOfficialLastName: | SARRAO | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9497833976 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.