Organization
KETHLEY HOUSE @ BENJAMIN ROSE PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY S. MARITA L.N.H.A. (ADMINISTRATOR)
(216) 373-1807
Entity
Organization
Contact information
Practice address
11900 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 795-5450
(216) 795-1178
Mailing address
11900 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 795-5450
(216) 795-1178
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005912
—
OH
Enumeration date
09/23/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us