Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DOROTHEA ANN KOSTOLICH, RN
Active Sole ProprietorSkilled Nursing Facility · MASSILLON, OH
Registration Details
- NPI Number
- 1114001179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2006 (19.4885167241 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RN 241307 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1730 WARRINGTON RD NWMASSILLON, OH, 446462867Browse OH providers · Browse ZIP 44646
- Phone
- 3308378190
- Fax
- 3308378619
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.