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General NPI Number Information
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NPI Number | 1508300658
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Entity Type | Organization
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Legal Business Name | SPRING MEADOW NURSING & REHABILITATION CENTRE LLC
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 1125 CLARION AVE
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City | HOLLAND
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State | OH
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Zip | 43528-8107
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Country | US
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Telephone | 419-866-6124
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 CLARION AVE
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City | HOLLAND
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State | OH
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Zip | 43528-8107
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Country | US
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Telephone | 419-866-6124
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MARCELLA GRAF
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Credential |
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Telephone | 224-470-2044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | OH
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