Organization
FRONT LEASING CO LLC
Active
Other names
Aristocrat Berea Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA R HUMBERT (EXEC ASST TO CFO)
(313) 489-7100
Entity
Organization
Contact information
Practice address
255 FRONT ST, BEREA, OH 44017-1943
(440) 243-4000
Mailing address
4700 ASHWOOD DR, SUITE 200, CINCINNATI, OH 45241-2465
(513) 489-7100
(513) 530-1359
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1634N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634N
NURSING HOME LICENSE
OH
05
—
2607647
—
OH
01
—
4625750005
DMERC
OH
Enumeration date
04/18/2008
Last updated
04/18/2008
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