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General NPI Number Information
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NPI Number | 1811084064
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Entity Type | Organization
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Legal Business Name | ROSARY CARE CENTER
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6832 CONVENT BLVD
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City | SYLVANIA
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State | OH
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Zip | 43560-4805
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Country | US
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Telephone | 419-824-3600
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Fax | 419-824-3931
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Provider Business Mailing Address
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Address Line | 6832 CONVENT BLVD
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City | SYLVANIA
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State | OH
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Zip | 43560-4805
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Country | US
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Telephone | 419-824-3600
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Fax | 419-824-3931
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. CATHY L. LONGACRE
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Credential |
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Telephone | 419-824-3673
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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 | 6045
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License Number State | OH
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