Organization
RAE-ANN WESTLAKE, INC.
Active
Other names
M.A.G., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. GRIFFITHS LNHA (VICE PRESIDENT)
(440) 835-3005
Entity
Organization
Contact information
Practice address
28303 DETROIT RD, WESTLAKE, OH 44145-2157
(440) 871-0500
Mailing address
PO BOX 40175, BAY VILLAGE, OH 44140-0175
(440) 835-3005
(440) 871-3776
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050215
—
OH
Enumeration date
10/25/2005
Last updated
08/08/2014
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