SC
SUPREME COUNCIL OF THE HOUSE OF JACOB OF THE USA INC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
COSHOCTON, OH
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1891864823
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameHULDAH CHESNUT
TitleADMINISTRATOR
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