Organization
KINGSTON CARE CENTER OF SYLVANIA, LLC
Active
Other names
Kingston Care Center of Sylvania
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY NIRSCHL (TREASURER OF MANAGING MEMBER)
(419) 247-2824
Entity
Organization
Contact information
Practice address
4121 KING RD, SYLVANIA, OH 43560-4438
(419) 517-8200
(419) 517-8201
Mailing address
PO BOX 2165, TOLEDO, OH 43603-2165
(419) 247-2880
(419) 247-2872
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2418N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2526038
—
OH
Enumeration date
10/04/2005
Last updated
08/22/2020
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