Organization
AVIS LEASING CO., LLC
Active
Other names
Hanover 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
435 AVIS AVENUE NW, MASSILLON, OH 44646-3555
(330) 837-1741
(330) 837-1747
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
1431N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2564523
—
OH
Enumeration date
11/10/2005
Last updated
05/01/2025
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