Organization
BREWSTER PARKE, INC.
Active
Other names
Brewster Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. CHILDS II LNHA (ADMINISTRATOR)
(330) 767-4179
Entity
Organization
Contact information
Practice address
264 MOHICAN ST NE, BREWSTER, OH 44613-1126
(330) 767-4179
(330) 767-3907
Mailing address
360 WABASH AVE N, BREWSTER, OH 44613-1042
(330) 767-3451
(330) 767-3452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1482N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321655
—
OH
Enumeration date
06/10/2005
Last updated
10/30/2023
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