Mansfield Living Center, Ltd

NPI #1063409720 in Mansfield, Ohio

Provider Information

NPI Number
1063409720
Entity Type
Organization
Organization Name
Mansfield Living Center, Ltd
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Sep 28, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
73 MADISON RD
State
Ohio
ZIP Code
44905-2830
Phone
(419) 526-0124

Authorized Official

Name
MRS. TRACY R ROBERTSON
Title
CORP. OFFICE EXECUTIVE ASSISTANT
Phone
(419) 526-0124

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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