Organization
SOUTHWOODS REHABILITATION LLC
Active
Parent organization
THE SURGERY CENTER AT SOUTHWOODS LLC
Other names
SOUTHWOODS PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SURGERY CENTER AT SOUTHWOODS LLC
Authorized official
MR. EDWARD MURANSKY (CEO)
(330) 758-1954
Entity
Organization
Contact information
Practice address
1397 S CANFIELD NILES RD, UNIT 1, AUSTINTOWN, OH 44515-4084
(330) 270-5410
(330) 270-5973
Mailing address
7630 SOUTHERN BLVD, BOARDMAN, OH 44512-5633
(330) 729-8001
(330) 729-8029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
0046AS
OH
282N00000X
General Acute Care Hospital
1485
OH
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2369619
—
OH
01
—
36-0352
CMS CERTIFICATION NUMBER
OH
Enumeration date
08/04/2014
Last updated
08/10/2014
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