Organization
FAIRCHILD (MD) LEASING CO., LLC
Active
Other names
Kent Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA K HUBBARD (DIRECTOR OF A/R)
(513) 489-7100
Entity
Organization
Contact information
Practice address
1290 FAIRCHILD AVE, KENT, OH 44240-1814
(330) 678-4912
Mailing address
4700 ASHWOOD DR, SUITE 200, CINCINNATI, OH 45241-2465
(513) 489-7100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2815529
—
OH
Enumeration date
01/31/2008
Last updated
12/18/2008
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