Organization
MANOR CARE OF MINOT ND LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
600 MAIN ST S, MINOT, ND 58701-4499
(701) 852-1255
(701) 852-1134
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1041A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30479
—
ND
Enumeration date
06/11/2006
Last updated
02/25/2008
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