Organization
SPRENGER HEALTHCARE OF PORT ROYAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E WIEDENMANNOTT (MEDICARE COORDINATOR)
(440) 989-5238
Entity
Organization
Contact information
Practice address
1810 RICHMOND AVE, PORT ROYAL, SC 29935-2015
(440) 989-5238
Mailing address
3905 OBERLIN AVE, LORAIN, OH 44053-2853
(440) 989-5238
(440) 989-4362
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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