Organization
SHAKER HEIGHTS, LTC, LLC
Active
Other names
Shaker Gardens Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ANDREWS (ADMINISTRATOR)
(216) 752-5600
Entity
Organization
Contact information
Practice address
3550 NORTHFIELD RD, SHAKER HEIGHTS, OH 44122-5253
(216) 752-5600
(216) 752-8133
Mailing address
3550 NORTHFIELD RD, SHAKER HEIGHTS, OH 44122-5253
(216) 752-5600
(216) 752-8133
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2047N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2625976
—
OH
Enumeration date
02/09/2007
Last updated
08/22/2020
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