Organization
HEARTLAND-LANSING OF BRIDGEPORT OH LLC
Active
Other names
Heartland - Lansing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
68222 COMMERCIAL DR, BRIDGEPORT, OH 43912-1520
(740) 635-4600
(740) 635-1723
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1750N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2792125
—
OH
Enumeration date
06/11/2006
Last updated
02/11/2008
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