Organization
HEARTLAND OF MADEIRA OH LLC
Active
Other names
Heartland of Madeira
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
5970 KENWOOD RD, MADEIRA, OH 45243-2930
(513) 561-4111
(513) 561-1496
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
1296N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791493
—
OH
Enumeration date
06/09/2006
Last updated
02/07/2008
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