Lucasville II Facility Operations, LLC
NPI #1073527800 in Lucasville, Ohio
Provider Information
- NPI Number
- 1073527800
- Entity Type
- Organization
- Organization Name
- Lucasville II Facility Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Feb 22, 2017
Practice Location
- Address
- 10098A BIG BEAR CREEK ROAD
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-0789
- Phone
- (740) 259-2351
Authorized Official
- Name
- THOMAS L. BARR
- Title
- EXECUTIVE DIRECTOR
- Phone
- (740) 259-2351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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