Organization
BOYKO MANAGEMENT, INC.
Active
Other names
The Lodge Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J FRIEDMANN (VICE PRESIDENT)
(513) 677-4900
Entity
Organization
Contact information
Practice address
9370 UNION CEMETERY RD, LOVELAND, OH 45140-9577
(513) 677-4900
Mailing address
9370 UNION CEMETERY RD, LOVELAND, OH 45140-9577
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1975
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149571
—
OH
Enumeration date
09/29/2005
Last updated
08/22/2020
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