Organization
MANORCARE HEALTH SERVICES LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
3518 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-4666
(765) 453-0358
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000025-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274850
—
IN
Enumeration date
06/03/2006
Last updated
04/29/2008
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