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.
|Practice Location|| 10731 State Route 118, Rockford, OH 45882-8947, US |
|Practice Location Phone||419-363-2620|
|Practice Location Fax||419-363-2354|
|Legal Business Name||THE LAURELS OF ROCKFORD, INC.|
|Other Organization Name||THE LAURELS OF SHANE HILL|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Oct 20, 2006|
|Last Update Date ? ||Oct 5, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of The Laurels Of Rockford, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers||Parenteral & Enteral Nutrition ||5801||Ohio|
Legacy Provider IDs of The Laurels Of Rockford, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|7105594||Ohio||Other||UNITED HEALTH CARE ID #|
|5801||Ohio||Other||NH LICENSE #|
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/Position||CFO|
|Authorized Official Phone Number||614-794-8800|