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NPI Code Detail

MEDICARE: MANORCARE HEALTH SERVICES, LLC

MEDICARE: MANORCARE HEALTH SERVICES, 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 : 1851638316
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANORCARE HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 333 N SUMMIT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2615
Country : US
Telephone Number : 419-252-5500
Fax Number : 877-385-9446
Provider Business Practice Location Address
First Line : 38200 SCHOENHERR RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-1700
Country : US
Telephone Number : 586-274-9044
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5734
Provider Enumeration Date : 01/03/2013
Last Update Date : 01/25/2022

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