Organization
FAIRLAWN HEALTHCARE LLC
Active
Other names
Fairlawn Rehab & Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BERGSTEN (MANAGING MEMBER)
(937) 825-6622
Entity
Organization
Contact information
Practice address
3558 RIDGEWOOD RD, FAIRLAWN, OH 44333-3122
(937) 825-6622
Mailing address
544 ENTERPRISE DR, LEWIS CENTER, OH 43035-9704
(937) 825-6622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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