Organization
BRECKSVILLE LEASING CO., LLC
Active
Other names
Pine Valley Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA K HUBBARD (DIR OF A/R)
(513) 530-1327
Entity
Organization
Contact information
Practice address
4360 BRECKSVILLE RD, RICHFIELD, OH 44286-9457
(330) 659-6166
(330) 659-3676
Mailing address
4700 ASHWOOD DR, SUITE 200, CINCINNATI, OH 45241-2465
(513) 489-7100
(513) 530-1359
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2607147
—
OH
Enumeration date
11/09/2005
Last updated
10/14/2008
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