Organization
THE DEROL COMPANY LLC
Active
Other names
Village of the Falls Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE DIANA GROSH LNHA (ADMINISTRATOR)
(440) 235-7590
Entity
Organization
Contact information
Practice address
25920 ELM ST, OLMSTED FALLS, OH 44138-1616
(440) 235-7590
Mailing address
25920 ELM ST, OLMSTED FALLS, OH 44138-1616
(440) 235-7590
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2331R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2866297
—
OH
Enumeration date
03/02/2009
Last updated
03/02/2009
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