Organization
HERITAGE CORNER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HARRISON MANLEY (MEMBER)
(419) 728-7010
Entity
Organization
Contact information
Practice address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4828
(419) 728-7010
Mailing address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4828
(419) 728-7010
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
07/12/2012
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