| NPI | 1861589194 |
|---|---|
| Doing Business As | LAURELS OF FOREST GLENN |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATTON CFO 614-794-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC NH0506) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-10-05 |