Laurel Lake Retirement Community, Inc.

NPI 1295728905 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1295728905
Enumeration Date 08/27/2005
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position ADMINISTRATOR
Phone (330) 655-1402
Fax (330) 655-1700
Practice Location
200 LAUREL LAKE DR
HUDSON OH, 44236-2156, US
Phone (330) 655-1402
Fax (330) 655-1700
Business Location
200 LAUREL LAKE DR
HUDSON OH, 44236-2156, US
Phone (330) 655-1402
Fax (330) 655-1700
Toxanomy
Taxonomy Code 314000000X
License State Ohio
License Number 4131
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According to our database, Laurel Lake Retirement Community, Inc. NPI is 1295728905, taxonomy code is 314000000X and license number is 4131, license state is located at Ohio. Laurel Lake Retirement Community, Inc. physically located at 200 Laurel Lake Dr, Hudson OH, 44236-2156. NPI Number 1033115704 has the healthcare provider type.

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1295728905 NPI number is provided on an as is basis without warranty of any kind. 1295728905 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel Lake Retirement Community, Inc. are for informational purposes only.