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General NPI Number Information
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NPI Number | 1114921939
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Entity Type | Organization
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Legal Business Name | KARL HC, LLC
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 5700 KARL RD
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City | COLUMBUS
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State | OH
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Zip | 43229-3602
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Country | US
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Telephone | 614-846-5420
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Fax | 614-854-7830
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Provider Business Mailing Address
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Address Line | 22021 BROOKPARK RD STE 123
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-3100
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Country | US
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Telephone | 440-614-0160
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Fax | 440-614-0168
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN COLLERAN
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Credential |
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Telephone | 440-614-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 1660N
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License Number State | OH
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