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Organization

HERITAGE CORNER NURSING HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE DIMICK (BUSINESS OFFICE MANAGER)
(419) 728-7015
Entity
Organization

Contact information

Practice address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4828
(317) 806-6775
Mailing address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4828
(419) 728-7009
(419) 353-5219

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
05/15/2020
Last updated
01/14/2021
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