Healthcare Provider Details

I. General information

NPI: 1447248927
Provider Name (Legal Business Name): LEVERING MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 NORTH PORTLAND STREET
FREDERICKTOWN OH
43019-9378
US

IV. Provider business mailing address

PO BOX 44
CHESTERVILLE OH
43317-0044
US

V. Phone/Fax

Practice location:
  • Phone: 419-768-2401
  • Fax: 419-768-9060
Mailing address:
  • Phone: 419-768-2401
  • Fax: 419-768-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0754
License Number StateOH

VIII. Authorized Official

Name: MRS. DARLENE K YAKE
Title or Position: ADMINISTRATOR
Credential:
Phone: 419-768-2401