Organization
PLYMOUTH NH, LLC
Active
Other names
Plymouth Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MANDO (CFO)
(813) 635-9500
Entity
Organization
Contact information
Practice address
309 N KINGSTON RD, PLYMOUTH, IN 46563-1927
(574) 936-9025
(574) 936-4928
Mailing address
309 N KINGSTON RD, PLYMOUTH, IN 46563-1927
(574) 936-9025
(574) 936-4928
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
06/20/2005
Last updated
08/22/2020
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