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Organization

LAUREL HEALTH CARE COMPANY OF HILLSBORO

Active
Other names
THE LAURELS OF HILLSBORO
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization

Contact information

Practice address
175 CHILLICOTHE AVE, HILLSBORO, OH 45133-1533
(937) 393-1925
(937) 393-3666
Mailing address
175 CHILLICOTHE AVE, HILLSBORO, OH 45133-1533
(937) 393-1925
(937) 393-3666

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5786
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1626-NH
NH ID #
OH
05
2153801
OH
01
5786
NURSING HOME LICENSE #
OH
Enumeration date
09/20/2006
Last updated
10/05/2007
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