Organization
BRENN-FIELD NURSING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE S DOYLE (BILLING DIRECTOR)
(330) 683-4075
Entity
Organization
Contact information
Practice address
1980 LYNN DR, ORRVILLE, OH 44667-2337
(330) 683-4075
(330) 683-4414
Mailing address
1980 LYNN DR, ORRVILLE, OH 44667-2337
(330) 683-4075
(330) 683-4414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2376
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305694
BCBS PROVIDER NUMBER
OH
05
—
0250419
—
OH
Enumeration date
09/29/2005
Last updated
07/17/2007
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