Organization
HEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
Active
Other names
Heartland - Holly Glen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
4293 MONROE ST, TOLEDO, OH 43606-1943
(419) 474-6021
(419) 475-1946
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1396N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2792036
—
OH
Enumeration date
06/11/2006
Last updated
05/31/2017
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