Organization
LFMC MANAGEMENT CO. LTD
Active
Other names
Imperial Skilled Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEATH FLICKINGER LNHA (ADMINISTRATOR)
(330) 898-4033
Entity
Organization
Contact information
Practice address
4121 TOD AVE NW, WARREN, OH 44485
(330) 898-4033
Mailing address
4121 TOD AVE NW, WARREN, OH 44485
(330) 898-4033
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1254N
OH
314000000X
Skilled Nursing Facility
Primary
1254N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2798129
—
OH
Enumeration date
02/06/2008
Last updated
06/17/2008
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