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Organization

HEARTLAND-WILLOW LANE OF BUTLER MO LLC

Active
Other names
Heartland of Willow Lane
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
416 S HIGH ST, BUTLER, MO 64730-1827
(660) 679-6158
(660) 679-4243
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
032782
MO

Other

Enumeration date
06/10/2006
Last updated
04/02/2008
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