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General NPI Number Information
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NPI Number | 1982955357
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Entity Type | Organization
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Legal Business Name | BARNESVILLE HEALTHCARE AND REHAB CENTER, LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 400 CARRIE AVE
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City | BARNESVILLE
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State | OH
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Zip | 43713-1317
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Country | US
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Telephone | 740-425-3648
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 W HOWARD ST
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City | CHICAGO
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State | IL
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Zip | 60645-1303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF REVENUE CYCLE MANAGEMENT
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Name | MATT GOTTER
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Credential |
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Telephone | 773-338-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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