Edgewood Manor of Lucasville II LLC
NPI #1609394535 in Lucasville, Ohio
Provider Information
- NPI Number
- 1609394535
- Entity Type
- Organization
- Organization Name
- Edgewood Manor of Lucasville II LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Aug 30, 2017
Practice Location
- Address
- 10098A BIG BEAR CREEK RD
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-9168
- Phone
- (740) 259-2531
Authorized Official
- Name
- ALEXANDER SHERMAN
- Title
- MANAGING MEMBER
- Phone
- (718) 688-8760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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