Organization
LIBERTY NURSING CENTER OF RIVERSIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK-KUREK (PRESIDENT)
(973) 296-1550
Entity
Organization
Contact information
Practice address
315 LILIENTHAL ST, CINCINNATI, OH 45204-1170
(513) 471-8667
(513) 557-3629
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
(937) 296-1550
(937) 296-1540
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
NH-014659-NH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2553928
—
OH
Enumeration date
08/05/2006
Last updated
01/10/2014
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