2W
204 W. MAIN STREET OPERATING COMPANY, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
NEW LONDON, OH
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1457463556
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameKEVIN BRESLIN
TitleEXECUTIVE VICE PRESIDENT - CFO
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