Organization
MANSFIELD MEMORIAL HOMES, INC
Active
Other names
Geriatric Center of Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND LOUGHMAN (EXECUTIVE DIRECTOR)
(419) 774-5120
Entity
Organization
Contact information
Practice address
50 BLYMYER AVE, MANSFIELD, OH 44903-2343
(419) 774-5120
(419) 524-7537
Mailing address
50 BLYMYER AVE, MANSFIELD, OH 44903-2343
(419) 774-5120
(419) 524-7537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
064501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5489850
—
OH
Enumeration date
07/21/2006
Last updated
04/24/2012
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