Organization
ST AUGUSTINE MANOR
Active
Parent organization
ST AUGUSTINE MANOR
Other names
ST AUGUSTINE MANOR PROFESSIONAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST AUGUSTINE MANOR
Authorized official
MR. FRANCIS S HUBA (CHIEF FINANCIAL OFFICER)
(216) 634-7555
Entity
Organization
Contact information
Practice address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 634-7400
(216) 634-7483
Mailing address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 634-7400
(216) 634-7483
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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