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NPI 1508860180

NPI 1508860180 : PLEASANT VIEW NURSING HOME, INC. : BARBERTON, OH

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General NPI Number Information
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    NPI Number           |    1508860180
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLEASANT VIEW NURSING HOME, INC. 
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Dates
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    Enumeration Date     |    06/10/2005
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    Last Update Date     |    05/30/2012
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Provider Practice Location Address
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    Address Line         |    401 SNYDER AVE 
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    City                 |    BARBERTON
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    State                |    OH
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    Zip                  |    44203-4131
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    Country              |    US
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    Telephone            |    330-745-6028
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    Fax                  |    330-681-1200
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Provider Business Mailing Address
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    Address Line         |    401 SNYDER AVE 
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    City                 |    BARBERTON
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    State                |    OH
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    Zip                  |    44203-4131
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    Country              |    US
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    Telephone            |    330-745-6028
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    Fax                  |    330-681-1200
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. RICHARD L. MORRIS 
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    Credential           |    LNHA
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    Telephone            |    330-745-6028
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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       |    1596N
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    License Number State |    OH
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