institution
The Laurels Of Rockford, Inc.
Parenteral & Enteral Nutrition Supplies (DME) in Rockford, Ohio
NPI 1952483455

The Laurels Of Rockford, Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in Rockford, OH and is specialized in Parenteral & Enteral Nutrition. The Laurels Of Rockford, Inc. practices in Rockford, OH. The NPI Number for The Laurels Of Rockford, Inc. is 1952483455 and holds a License No. 5801 (Ohio).

The current practice location address for The Laurels Of Rockford, Inc. is 10731 State Route 118, Rockford, OH and can be reached out via phone at 419-363-2620 and via fax at 419-363-2354.

Location: 10731 State Route 118, Rockford, OH, 45882-8947
institution
Provider Profile Details
NPI Number
1952483455
Provider Name
The Laurels Of Rockford, Inc.
Credential
Provider Entity Type
Organization
Address
10731 State Route 118, Rockford, OH, 45882-8947
Phone Number
419-363-2620
Fax Number
419-363-2354
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7105594 01 OH UNITED HEALTH CARE ID #
5801 01 OH NH LICENSE #
2165286 05 OH
000000253127 01 OH BC/BS #
institution
Provider Business Practice Location Address Details
Address
10731 State Route 118
City
State
Zip
45882-8947
Phone Number
419-363-2620
Fax Number
419-363-2354
person
Provider Business Mailing Address Details
Address
10731 State Route 118
City
State
Zip
45882-8947
Phone Number
419-363-2620
Fax Number
419-363-2354
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
5801 (Ohio)
Definition
Definition to come...
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