Organization
WILLOWOOD CARE CENTER OF BRUNSWICK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOUGHEED LNHA (ADMINISTRATOR)
(330) 225-3156
Entity
Organization
Contact information
Practice address
1186 HADCOCK RD, BRUNSWICK, OH 44212-3016
(330) 225-3156
(330) 273-4876
Mailing address
1186 HADCOCK RD, BRUNSWICK, OH 44212-3016
(330) 225-3156
(330) 273-4876
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4774
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
OH
Enumeration date
01/26/2007
Last updated
04/30/2010
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