Organization
MADISON CARE CENTER INC
Active
Other names
Broadfield Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0160
Entity
Organization
Contact information
Practice address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287
Mailing address
25000 COUNTRY CLUB BLVD, SUITE 255, NORTH OLMSTED, OH 44070-5344
(440) 614-0160
(440) 614-0168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997753
—
OH
Enumeration date
11/23/2009
Last updated
01/05/2010
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