100 Rogers Operating LLC

NPI #1528245438 in Shelby, Ohio

Provider Information

NPI Number
1528245438
Entity Type
Organization
Organization Name
100 Rogers Operating LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 23, 2008
Last Updated
Dec 2, 2009

Practice Location

Address
100 ROGERS LN
City
Shelby
State
Ohio
ZIP Code
44875-1759
Phone
(419) 347-1313

Authorized Official

Name
MR. THEODORE M DUAY III, C.P.A.
Title
CHIEF FINANCIAL OFFICER
Phone
(786) 888-3310

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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