Harborside Troy, Llc

NPI 1487761565 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1487761565
Enumeration Date 08/24/2006
Last Updated 10/01/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM A WILLIAM
Position PRESIDENT DIRECTOR
Phone (937) 335-7161
Fax (937) 335-0686
Practice Location
512 CRESCENT DR
TROY OH, 45373-2718, US
Phone (937) 335-7161
Fax (937) 335-0686
Business Location
101 SUN AVE NE
COMPLIANCE DEPARTMENT
ALBUQUERQUE NM, 87109-4373, US
Phone (505) 468-5604
Fax (505) 468-4681
Toxanomy
Taxonomy Code 314000000X
License State Ohio
License Number 5089
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According to our database, Harborside Troy, Llc NPI is 1487761565, taxonomy code is 314000000X and license number is 5089, license state is located at Ohio. Harborside Troy, Llc physically located at 512 Crescent Dr, Troy OH, 45373-2718. NPI Number 1033115704 has the healthcare provider type.

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1487761565 NPI number is provided on an as is basis without warranty of any kind. 1487761565 is maintained by the National Plan & Provider Enumeration System. The contents of Harborside Troy, Llc are for informational purposes only.