Organization
LAUREL HEALTH CARE COMPANY OF NORTH WORTHINGTON
Active
Other names
THE LAURELS OF NORWORTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
6830 N HIGH ST, WORTHINGTON, OH 43085-2510
(614) 888-4553
(614) 847-0009
Mailing address
6830 N HIGH ST, WORTHINGTON, OH 43085-2510
(614) 888-4553
(614) 847-0009
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246154
BC/BS #
OH
05
—
2112798
—
OH
01
—
5628
NH LICENSE #
OH
01
—
7100420
UNITED HEALTH CARE ID #
OH
Enumeration date
10/20/2006
Last updated
10/05/2007
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