Organization
ELDERCARE SERVICES INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY S MARITA LNHA,MHSA (CHIEF OPERATING OFFICER)
(216) 373-1807
Entity
Organization
Contact information
Practice address
11890 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 791-8000
(216) 373-1816
Mailing address
11890 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 791-8000
(216) 373-1816
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871950
—
OH
Enumeration date
12/06/2019
Last updated
12/10/2019
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