Mansfield Living Center, Ltd

NPI 1063409720 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1063409720
Enumeration Date 09/28/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TRACY R TRACY
Position CORP. OFFICE EXECUTIVE ASSISTANT
Phone (419) 526-0124
Fax (419) 522-4391
Practice Location
73 MADISON RD
MANSFIELD OH, 44905-2830, US
Phone (419) 526-0124
Fax (419) 522-4391
Business Location
73 MADISON RD
MANSFIELD OH, 44905-2830, US
Phone (419) 526-0124
Fax (419) 522-4391
Toxanomy
Taxonomy Code 315P00000X
License State Ohio
License Number 15637
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According to our database, Mansfield Living Center, Ltd NPI is 1063409720, taxonomy code is 315P00000X and license number is 15637, license state is located at Ohio. Mansfield Living Center, Ltd physically located at 73 Madison Rd, Mansfield OH, 44905-2830. NPI Number 1033115704 has the healthcare provider type.

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1063409720 NPI number is provided on an as is basis without warranty of any kind. 1063409720 is maintained by the National Plan & Provider Enumeration System. The contents of Mansfield Living Center, Ltd are for informational purposes only.