Organization
LAKEWOOD SENIOR CAMPUS, LLC
Active
Other names
Lakewood Senior Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T. O'NEILL LNHA (PRESIDENT)
(440) 327-0110
Entity
Organization
Contact information
Practice address
13900 DETROIT AVE, LAKEWOOD, OH 44107-4624
(440) 228-7650
(440) 228-7655
Mailing address
34100 CENTER RIDGE RD, SUITE 10, NORTH RIDGEVILLE, OH 44039-5311
(440) 327-9777
(440) 327-6172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4204
STATE OF OHIO NURSING HOM
OH
Enumeration date
08/04/2006
Last updated
11/14/2007
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