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Organization

SOUTH I LEASING CO., LLC

Active
Other names
Greenbriar Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES R STOLTZ (SECRETARY / TREASURER)
(513) 530-1808
Entity
Organization

Contact information

Practice address
8064 SOUTH AVE, BOARDMAN, OH 44512-6153
(330) 726-3700
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
(513) 530-1808

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2815510
OH
Enumeration date
02/07/2008
Last updated
05/01/2025
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