Organization
840 SHERMAN HEALTHCARE, INC.
Active
Other names
Pine Grove Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0160
Entity
Organization
Contact information
Practice address
840 SHERMAN ST, GENEVA, OH 44041-9101
(440) 614-0160
(440) 614-0168
Mailing address
25000 COUNTRY CLUB BLVD, SUITE 255, NORTH OLMSTED, OH 44070-5344
(440) 614-0160
(440) 614-0168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902470
—
OH
Enumeration date
10/26/2007
Last updated
06/16/2014
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