Provider Demographics
NPI:1801042965
Name:D.R.L. REAL ESTATE, LTD.
Entity Type:Organization
Organization Name:D.R.L. REAL ESTATE, LTD.
Other - Org Name:PLEASANT RIDGE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:LIIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-631-1310
Mailing Address - Street 1:5501 VERULAM AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-2417
Mailing Address - Country:US
Mailing Address - Phone:513-631-1310
Mailing Address - Fax:513-631-1328
Practice Address - Street 1:5501 VERULAM AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2417
Practice Address - Country:US
Practice Address - Phone:513-631-1310
Practice Address - Fax:513-631-1328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNH-016880-NH314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility