Heartland-Indian Lake of Lakeview Oh LLC

NPI #1154363794 in Lakeview, Ohio

Provider Information

NPI Number
1154363794
Entity Type
Organization
Organization Name
Heartland-Indian Lake of Lakeview Oh LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 11, 2006
Last Updated
Jun 18, 2008

Practice Location

Address
14442 US HIGHWAY 33
State
Ohio
ZIP Code
43331-9284
Phone
(937) 843-4929

Authorized Official

Name
MR. BARRY A LAZARUS
Title
VICE PRESIDENT - REIMBURSEMENTS
Phone
(419) 252-5541

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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Provider Name
Indian Lake Healthcare Group, LLC

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