Organization
HEARTLAND OF JACKSON MI LLC
Active
Other names
Heartland Health Care Center - Jackson
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
434 W NORTH ST, JACKSON, MI 49202-3313
(517) 787-3250
(517) 787-4836
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
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605290262
—
MI
Enumeration date
06/10/2006
Last updated
07/09/2008
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