Organization
HEARTLAND OF RAINELLE WV LLC
Active
Other names
Heartland of Rainelle
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
606 PENNSYLVANIA AVE, RAINELLE, WV 25962-1522
(304) 438-6127
(304) 438-6657
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
78
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003744005
—
WV
Enumeration date
06/20/2006
Last updated
01/31/2008
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