MEDICARE: SWANTON HEALTH CARE & RETIREMENT CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	4050	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306841713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWANTON HEALTH CARE & RETIREMENT CENTER INC

Provider Business Mailing Address
First Line	:	214 S MUNSON RD
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558-1210
Country	:	US
Telephone Number	:	419-825-1145
Fax Number	:	419-825-1164

Provider Business Practice Location Address
First Line	:	214 S MUNSON RD
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558-1210
Country	:	US
Telephone Number	:	419-825-1145
Fax Number	:	419-825-1164

Authorized Official
Title or Position	:	CEO
Name	:	LISA MITCHELL
Credential	:
Telephone Number	:	419-825-1145

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	11/29/2016

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