Organization
CRG HEALTH CARE SYSTEM, INC.
Active
Other names
The Manor at Autumn Hills
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL RUSSELL GILLETTE D.O. (OWNER, MEDICAL DIRECTOR)
(330) 652-6745
Entity
Organization
Contact information
Practice address
2567 NILES VIENNA RD, NILES, OH 44446-5401
(330) 652-6745
(330) 652-8743
Mailing address
2567 NILES VIENNA RD, NILES, OH 44446-5401
(330) 652-6745
(330) 652-8743
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
34-001344
OH
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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