Great Trail Care, Llc

NPI 1437212628 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1437212628
Enumeration Date 12/18/2006
Last Updated 02/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DONNA JO DONNA
Position DIRECTOR OF COMPLIANCE
Phone (330) 868-4104
Fax (330) 868-7714
Practice Location
400 CAROLYN CT
MINERVA OH, 44657-8703, US
Phone (330) 868-4104
Fax (330) 868-7714
Business Location
111 W MICHIGAN ST
MILWAUKEE WI, 53203-2903, US
Phone (414) 908-8119
Fax (414) 908-7105
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1437212628 NPI Number
 

According to our database, Great Trail Care, Llc NPI is 1437212628, taxonomy code is 314000000X Great Trail Care, Llc physically located at 400 Carolyn Ct, Minerva OH, 44657-8703. NPI Number 1033115704 has the healthcare provider type.

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1437212628 NPI number is provided on an as is basis without warranty of any kind. 1437212628 is maintained by the National Plan & Provider Enumeration System. The contents of Great Trail Care, Llc are for informational purposes only.