Organization
MANOR CARE-ROCKY RIVER OF CLEVELAND OH LLC
Active
Other names
ManorCare Health Services - Rocky River
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
4102 ROCKY RIVER DR, CLEVELAND, OH 44135-1139
(216) 251-3300
(216) 251-0201
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
1676N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2792250
—
OH
Enumeration date
06/10/2006
Last updated
02/07/2008
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