Organization
HEARTLAND-VICTORIAN VILLAGE OF COLUMBUS OH LLC
Active
Other names
Heartland - Victorian Village
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
920 THURBER DR W, COLUMBUS, OH 43215-1247
(614) 464-2273
(614) 464-3037
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
1453N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2792278
—
OH
Enumeration date
06/11/2006
Last updated
02/07/2008
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