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Organization

CONCORD CARE CENTER OF SANDUSKY, INC.

Active
Other names
Concord Care and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA A IFFT CPA (CEO)
(330) 759-2357
Entity
Organization

Contact information

Practice address
620 W STRUB RD, SANDUSKY, OH 44870-5779
(419) 626-5373
(419) 627-1181
Mailing address
620 W STRUB RD, SANDUSKY, OH 44870-5779
(419) 626-5373
(419) 627-1181

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5642
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000250271
ANTHEM
OH
01
1760566343
MEDICARE DME NPI
OH
05
2109551
OH
Enumeration date
11/04/2005
Last updated
07/12/2007
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