Organization
CT OHIO ENGLEWOOD LLC
Active
Other names
Englewood Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL A MOERMAN (MANAGER)
(516) 865-1500
Entity
Organization
Contact information
Practice address
425 LAURICELLA COURT, ENGLEWOOD, OH 45322
(937) 836-5143
(937) 836-1799
Mailing address
425 LAURICELLA COURT, ENGLEWOOD, OH 45322
(937) 836-5143
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141225
—
OH
Enumeration date
04/19/2018
Last updated
04/23/2025
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