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Organization
HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
Active
Organization
HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
Active
Other names
ManorCare Health Services-Willowbrook
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
13631 ARDFIELD DR, HOUSTON, TX 77070-5837
(281) 955-9572
(281) 955-1597
Mailing address
333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
112648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015396
—
TX
Enumeration date
06/18/2006
Last updated
12/20/2012
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