Organization
CONCORD CARE CENTER OF TOLEDO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA A IFFT CPA (CEO)
(330) 759-2357
Entity
Organization
Contact information
Practice address
3121 GLANZMAN RD, TOLEDO, OH 43614-3802
(419) 385-6616
(419) 389-5101
Mailing address
3121 GLANZMAN RD, TOLEDO, OH 43614-3802
(419) 385-6616
(419) 389-5101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311536
ANTHEM
OH
01
—
1740364322
MEDICARE DME NPI
—
05
—
2109560
—
OH
Enumeration date
11/04/2005
Last updated
07/12/2007
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