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Organization

BROADFIELD MANOR INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL JURIS BARBINS (ADMINISTRATOR)
(440) 466-3702
Entity
Organization

Contact information

Practice address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287
Mailing address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0268
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0999755
OH
Enumeration date
02/13/2007
Last updated
05/24/2010
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