Healthcare Provider Details

I. General information

NPI: 1053126912
Provider Name (Legal Business Name): MARION OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 COMMUNITY DR
MARION OH
43302-6487
US

IV. Provider business mailing address

175 COMMUNITY DR
MARION OH
43302-6487
US

V. Phone/Fax

Practice location:
  • Phone: 740-387-7537
  • Fax:
Mailing address:
  • Phone: 740-387-7537
  • Fax:

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: RACHEL FRIEDMAN
Title or Position: MANAGER
Credential:
Phone: 516-545-0980