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Organization

BROADFIELD MANOR INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL BARBINS (ADMINISTRATOR)
(440) 466-3702
Entity
Organization

Contact information

Practice address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287
Mailing address
7927 MIDDLE RIDGE RD, MADISON, OH 44057-3023
(440) 466-3702
(440) 466-7287

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0268
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0457401
OH
Enumeration date
03/19/2007
Last updated
08/22/2020
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