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NPI Code Detail

MEDICARE: MANOR CARE-STRATFORD HALL OF RICHMOND VA LLC

MEDICARE: MANOR CARE-STRATFORD HALL OF RICHMOND VA 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 FacilityNH2621VA

Other Identifiers

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

General Provider Information

NPI Number : 1982649372
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANOR CARE-STRATFORD HALL OF RICHMOND VA 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 : 2125 HILLIARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-4600
Country : US
Telephone Number : 804-266-9666
Fax Number : 804-266-3599
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5734
Provider Enumeration Date : 06/18/2006
Last Update Date : 01/25/2022

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