Organization
THE LAURELS OF MIDDLETOWN, LLC
Active
Other names
The Laurels of Middletown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS KHAN (C.F.O.)
(614) 794-8800
Entity
Organization
Contact information
Practice address
751 KENSINGTON ST, MIDDLETOWN, OH 45044
(513) 424-3511
(513) 424-3695
Mailing address
8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
(614) 794-8800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292352
—
OH
Enumeration date
03/27/2018
Last updated
07/09/2018
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