Organization
MANORCARE HEALTH SERVICES LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Lely Palms)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5518
Entity
Organization
Contact information
Practice address
6135 RATTLESNAKE HAMMOCK RD, NAPLES, FL 34113-2912
(239) 775-7715
(239) 732-9765
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
SNF12930962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032542200
—
FL
Enumeration date
05/31/2006
Last updated
01/31/2022
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