Organization
THE LAURELS OF BLANCHESTER, LLC
Active
Other names
THE LAURELS OF BLANCHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
839 CHERRY ST, BLANCHESTER, OH 45107
(937) 783-4911
Mailing address
839 CHERRY ST, BLANCHESTER, OH 45107-1315
(937) 783-4911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1739N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2994925
—
OH
Enumeration date
11/09/2009
Last updated
08/20/2018
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