Organization
LIGHT OF HEARTS VILLA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DELUCA (INTERIM DIRECTOR)
(440) 232-1991
Entity
Organization
Contact information
Practice address
283 UNION ST, BEDFORD, OH 44146-4578
(440) 232-1991
(440) 735-3429
Mailing address
283 UNION ST, BEDFORD, OH 44146-4578
(440) 232-1991
(440) 735-3429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1917R
OH
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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