Organization
CARECORE AT LIMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EITAN LAGHAIE MBA (VP OF BUSINESS OFFICE)
(419) 227-2154
Entity
Organization
Contact information
Practice address
599 S SHAWNEE ST, LIMA, OH 45804-1461
(419) 227-2154
Mailing address
599 S SHAWNEE ST, LIMA, OH 45804-1461
(419) 227-2154
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351
—
OH
Enumeration date
06/18/2019
Last updated
07/18/2019
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