Healthcare Provider Details

I. General information

NPI: 1295921211
Provider Name (Legal Business Name): VRABLE V, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 MARKET STREET BLDG D
BOARDMAN OH
44512
US

IV. Provider business mailing address

3248 W. HENDERSON ROAD
COLUMBUS OH
43220
US

V. Phone/Fax

Practice location:
  • Phone: 330-884-2300
  • Fax: 330-726-0182
Mailing address:
  • Phone: 614-545-5500
  • Fax: 614-545-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES P MERRILL
Title or Position: CFO
Credential:
Phone: 614-545-5500