Organization
204 W. MAIN STREET OPERATING COMPANY, LLC
Active
Other names
New London Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P BRESLIN (EXECUTIVE VICE PRESIDENT - CFO)
(201) 242-4000
Entity
Organization
Contact information
Practice address
204 W MAIN ST, NEW LONDON, OH 44851-1070
(419) 929-1563
Mailing address
204 W MAIN ST, NEW LONDON, OH 44851-1070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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