Organization
MAYFAIR VILLAGE NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAVEN LEE (LPN)
(614) 352-8692
Entity
Organization
Contact information
Practice address
3062 VISTA VIEW BLVD, COLUMBUS, OH 43231-6922
(614) 352-8692
Mailing address
3062 VISTA VIEW BLVD, COLUMBUS, OH 43231-6922
(614) 352-8692
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
136511
OH
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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