Organization
HEARTLAND-OAK PAVILION OF CINCINNATI OH LLC
Active
Other names
Heartland of Oak Pavilion
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
510 OAK ST, CINCINNATI, OH 45219-2507
(513) 751-0880
(513) 751-0882
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
—
2792223
—
OH
Enumeration date
06/11/2006
Last updated
02/07/2008
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