Organization
THE LAURELS OF CANTON, LLC
Active
Other names
THE LAURELS OF CANTON
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
2714 13TH ST NW, CANTON, OH 44708-3121
(614) 794-8800
Mailing address
2714 13TH ST NW, CANTON, OH 44708-3121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1539N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040051
—
OH
Enumeration date
03/11/2010
Last updated
11/23/2016
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