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NPI Code Detail

MEDICARE: MERIT HOUSE LLC.

MEDICARE: MERIT HOUSE 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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700125515
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIT HOUSE LLC.
Provider Business Mailing Address
First Line : 4645 LEWIS AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43612-2336
Country : US
Telephone Number : 419-478-5131
Fax Number : 419-470-0043
Provider Business Practice Location Address
First Line : 4645 LEWIS AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43612-2336
Country : US
Telephone Number : 419-478-8208
Fax Number : 419-470-0043
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : MR. JOHN JAY STONE
Credential : L.N.H.A.
Telephone Number : 419-478-5131
Provider Enumeration Date : 02/14/2013
Last Update Date : 06/27/2013

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Directions to “MERIT HOUSE LLC. ” Practice Location

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