Organization
CONCORD CARE CENTER OF CORTLAND, INC.
Active
Other names
Briarfield of Cortland
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA A. IFFT CPA (CEO)
(330) 759-2357
Entity
Organization
Contact information
Practice address
4250 SODOM HUTCHINGS RD, CORTLAND, OH 44410-9790
(330) 637-7906
(330) 638-2639
Mailing address
4250 SODOM HUTCHINGS RD, CORTLAND, OH 44410-9790
(330) 637-7906
(330) 638-2639
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5644
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346687
ANTHEM
OH
01
—
1689750895
MEDICARE DME SUPPLIER NUM
OH
05
—
2109695
—
OH
Enumeration date
11/04/2005
Last updated
07/12/2007
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