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The Laurels Of Rockford, Inc.

The Laurels Of Rockford, Inc. is a health care provider in Rockford, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 10731 State Route 118, Rockford, OH 45882-8947, US
Practice Location Phone419-363-2620
Practice Location Fax419-363-2354
Legal Business NameTHE LAURELS OF ROCKFORD, INC.
Other Organization NameTHE LAURELS OF SHANE HILL
Other Organization Name TypeDoing Business As Name
NPI ?1952483455
Entity TypeOrganization
Enumeration Date ? Oct 20, 2006
Last Update Date ? Oct 5, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Laurels Of Rockford, Inc.

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition 5801Ohio

legacy-id-icon Legacy Provider IDs of The Laurels Of Rockford, Inc.

Provider IdIssuer StateIssuer TypeIssuer
2165286OhioMedicaid
5801OhioOtherNH LICENSE #
4306230001OhioMedicare Nsc
7105594OhioOtherUNITED HEALTH CARE ID #
000000253127OhioOtherBC/BS #

official-icon Authorized Official of The Laurels Of Rockford, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Laurels Of Rockford, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Timothy Patton
Authorized Official Title/PositionCFO
Authorized Official Phone Number614-794-8800