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NPI Code Detail

MEDICARE: BRUNSWICK HEALTH & REHAB CENTER, LLC

MEDICARE: BRUNSWICK HEALTH & REHAB CENTER, LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1558872333
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRUNSWICK HEALTH & REHAB CENTER, LLC
Provider Business Mailing Address
First Line : 23700 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5827
Country : US
Telephone Number : 216-292-5706
Fax Number :
Provider Business Practice Location Address
First Line : 9600 NO 5 SCHOOL RD NW
Second Line :
City : ASH
State : NC
Zip : 28420-2122
Country : US
Telephone Number : 910-287-6007
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM I WEISBERG
Credential :
Telephone Number : 216-292-5706
Provider Enumeration Date : 10/19/2017
Last Update Date : 01/10/2022

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