Organization
HEARTLAND-INDIAN LAKE OF LAKEVIEW OH LLC
Active
Other names
Heartland of Indian Lake Rehabilitation Center
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
14442 US HIGHWAY 33, LAKEVIEW, OH 43331-9284
(937) 843-4929
(937) 843-3936
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
1829N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791699
—
OH
Enumeration date
06/11/2006
Last updated
06/18/2008
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