Organization
MANORCARE HEALTH SERVICES LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Dublin)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT)
(419) 252-5541
Entity
Organization
Contact information
Practice address
4075 W DUBLIN GRANVILLE RD, DUBLIN, OH 43017-1436
(614) 210-0541
(614) 210-0565
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2658N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01000666
—
OH
Enumeration date
02/24/2014
Last updated
02/09/2022
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