Healthcare Provider Details

I. General information

NPI: 1255328050
Provider Name (Legal Business Name): LEVERING MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 EXECUTIVE DR
MARION OH
43302-6343
US

IV. Provider business mailing address

195 EXECUTIVE DR
MARION OH
43302-6343
US

V. Phone/Fax

Practice location:
  • Phone: 740-387-9545
  • Fax: 740-382-3810
Mailing address:
  • Phone: 740-387-9545
  • Fax: 740-382-3810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1473
License Number StateOH

VIII. Authorized Official

Name: MR. NATE ROOT
Title or Position: ADMINISTRATOR
Credential:
Phone: 740-387-9545