Organization
VILLAGE AT MARYMOUNT
Active
Other names
Clare Hall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFRY A MYERS (CHIEF OPERATING OFFICER)
(216) 587-8627
Entity
Organization
Contact information
Practice address
5300 MARYMOUNT VILLAGE DRIVE, GARFIELD HEIGHTS, OH 44125-2938
(216) 587-8627
(216) 587-8967
Mailing address
5300 MARYMOUNT VILLAGE DRIVE, GARFIELD HEIGHTS, OH 44125-2914
(216) 587-8627
(216) 587-8967
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2295N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2705504
—
OH
Enumeration date
07/22/2006
Last updated
06/19/2008
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