Organization
ST AUGUSTINE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHIE A KAZDIN (BILLING MANAGER)
(216) 939-7609
Entity
Organization
Contact information
Practice address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 939-7609
(216) 634-7423
Mailing address
7801 DETROIT AVE, CLEVELAND, OH 44102-2813
(216) 939-7609
(216) 634-7423
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4654
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764249
—
OH
Enumeration date
07/29/2008
Last updated
07/29/2008
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