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NPI Code Detail

MEDICARE: MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC

MEDICARE: MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1578220265
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC
Provider Business Mailing Address
First Line : 777 E MAIN ST STE 210
Second Line :
City : WESTFIELD
State : IN
Zip : 46074-5301
Country : US
Telephone Number : 317-288-4029
Fax Number :
Provider Business Practice Location Address
First Line : 131 N WHEELING ST
Second Line :
City : TOLEDO
State : OH
Zip : 43605-1544
Country : US
Telephone Number : 419-724-1414
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : BERNARD MCGUINNESS
Credential :
Telephone Number : 718-380-8882
Provider Enumeration Date : 11/17/2021
Last Update Date : 12/15/2021

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Directions to “MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC ” Practice Location

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