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NPI Code Detail

MEDICARE: THE LAURELS OF TOLEDO, LLC

MEDICARE: THE LAURELS OF TOLEDO, 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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)OH

General Provider Information

NPI Number : 1760661953
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LAURELS OF TOLEDO, LLC
Provider Business Mailing Address
First Line : 1011 N BYRNE RD
Second Line :
City : TOLEDO
State : OH
Zip : 43607-2710
Country : US
Telephone Number : 419-536-7600
Fax Number : 614-794-8758
Provider Business Practice Location Address
First Line : 1011 N BYRNE RD
Second Line :
City : TOLEDO
State : OH
Zip : 43607-2710
Country : US
Telephone Number : 419-536-7600
Fax Number : 614-794-8758
Authorized Official
Title or Position : CFO
Name : MR. TIMOTHY D PATTON
Credential :
Telephone Number : 614-794-8800
Provider Enumeration Date : 10/24/2007
Last Update Date : 10/24/2007

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Directions to “THE LAURELS OF TOLEDO, LLC ” Practice Location

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