Organization
SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH
Active
Other names
Mount St. Joseph Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER MARY RAPHAEL GREGG RN., LNHA (ADMINISTRATOR)
(216) 531-7426
Entity
Organization
Contact information
Practice address
21800 CHARDON RD, EUCLID, OH 44117-2125
(216) 531-7426
(216) 531-4033
Mailing address
21800 CHARDON RD, EUCLID, OH 44117-2125
(216) 531-7426
(216) 531-4033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365487
MEDICARE PROVIDER NUMBER
—
Enumeration date
10/12/2005
Last updated
09/09/2014
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