The Laurels Of Rockford, Inc. in Rockford - Parenteral & Enteral Nutrition

The Laurels Of Rockford, Inc. - NPI 1952483455

The Laurels Of Rockford, Inc. is a Parenteral & Enteral Nutrition in Rockford, Ohio. The Laurels Of Rockford, Inc. practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for The Laurels Of Rockford, Inc. is 1952483455. The last update date is 2007-10-05.

The Laurels Of Rockford, Inc.'s current location address is 10731 State Route 118, Rockford, Ohio. You can contact this provider via phone number 4193632620 and fax number 4193632354. The mailing address for The Laurels Of Rockford, Inc. is 10731 State Route 118, Rockford, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Laurels Of Rockford, Inc.
Address 10731 State Route 118, Rockford, Ohio
Phone Number 4193632620
Fax Number 4193632354
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Patton Timothy
Telephone Number 6147948800

NPI Number Detail

NPI Number 1952483455
Provider Enumeration Date 2006-10-20
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 10731 State Route 118
City Rockford
State Ohio (OH)
Post Code 458828947
Phone Number 4193632620
Fax Number 4193632354

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Licence No 5801
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7105594 OH UNITED HEALTH CARE ID #
5801 OH NH LICENSE #
2165286 OH --
253127 OH BC/BS #

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FAQs about The Laurels Of Rockford, Inc.

What is the The Laurels Of Rockford, Inc.'s unique identification number?

The The Laurels Of Rockford, Inc. has been assigned the NPI (National Provider Identifier) Number 1952483455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where The Laurels Of Rockford, Inc.'s facilities are geographically located?

The facilities of The Laurels Of Rockford, Inc. are physically situated at the following location: 10731 State Route 118, Rockford, OH, 458828947.

What is the The Laurels Of Rockford, Inc.'s specialty and taxonomy code?

The The Laurels Of Rockford, Inc.'s specialty is Parenteral & Enteral Nutrition, and the corresponding taxonomy code is 332Bp3500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1952483455 to The Laurels Of Rockford, Inc.?

The The Laurels Of Rockford, Inc. received its 1952483455 assignment from the Centers for Medicare & Medicaid Services on 2006-10-20.

As of what date were the details pertaining to The Laurels Of Rockford, Inc. last refreshed?

The information related to the The Laurels Of Rockford, Inc., including its address, specialty, and other relevant details, was last updated on 2007-10-05.

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