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Organization
BROADFIELD MANOR INC.
Active
Organization
BROADFIELD MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BARBINS (ADMINISTRATOR)
(440) 466-3702
Entity
Organization
Contact information
Practice address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287
Mailing address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457401
—
OH
Enumeration date
03/19/2007
Last updated
08/22/2020
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