Organization
EXTENDICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS PARRISH OTR (FRC)
(419) 841-2200
Entity
Organization
Contact information
Practice address
7120 PORT SYLVANIA DR, TOLEDO, OH 43617-1158
(419) 841-2200
Mailing address
7120 PORT SYLVANIA DR, TOLEDO, OH 43617-1158
(419) 841-2200
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OTA3005
OH
Other
Enumeration date
05/23/2007
Last updated
07/12/2007
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