Organization
LIBERTY NURSING CENTER OF MANSFIELD, INC.
Active
Other names
Woodlawn Health Care and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK-KUREK (PRESIDENT)
(937) 296-1550
Entity
Organization
Contact information
Practice address
535 LEXINGTON AVE, MANSFIELD, OH 44907-1502
(419) 756-7111
(419) 774-9055
Mailing address
7445 LIBERTY WOODS LN, DAYTON, OH 45459-3911
(937) 296-1550
(937) 296-1540
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
1447N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411929
—
OH
Enumeration date
07/01/2006
Last updated
04/25/2008
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