Organization
MIDLAND LEASING CO., LLC
Active
Other names
Crestwood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R STOLTZ (SECRETARY / TREASURER)
(513) 530-1808
Entity
Organization
Contact information
Practice address
225 W MAIN ST, SHELBY, OH 44875-1412
(419) 347-1266
(419) 342-7035
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
(513) 530-1808
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2424782
—
OH
Enumeration date
11/07/2005
Last updated
05/01/2025
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