NPI 1063409720

Mansfield Living Center, LTD

Organisation Intellectual Disabilities Intermediate Care Facility Mansfield, OH

Practice location

Address: 73 Madison Rd, Mansfield, OH 44905-2830
Phone: (419) 526-0124
Fax: (419) 522-4391

Authorised official

Name: Tracy R Robertson
Title: Corp. Office Executive Assistant
Phone: (419) 526-0124

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 15637 (OH)

Other Intermediate Care Facility, Intellectual Disabilities providers in Ohio →

Registry record

NPI: 1063409720
Entity type: Organization
NPI issued: 28 Sep 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.