Organization
LAKERIDGE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY VERSOZA (ADMISSIONS)
(513) 729-2300
Entity
Organization
Contact information
Practice address
7220 PIPPIN RD, CINCINNATI, OH 45239-4607
(513) 729-2300
Mailing address
7220 PIPPIN RD, CINCINNATI, OH 45239-4607
(513) 729-2300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028317
—
OH
Enumeration date
04/24/2007
Last updated
08/22/2020
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