# KING DAVID AQUATIC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770351306
- **Authorized official:** Z ROSENBERG (BUSINESS OFFICE)
- **Authorized official phone:** (732) 335-6951

## Contact information

- **Practice address:** 27300 CEDAR RD, BEACHWOOD, OH 44122-1110
- **Practice address phone:** (216) 831-6500
- **Mailing address:** 27300 CEDAR RD, BEACHWOOD, OH 44122-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/13/2023