Organization
WESLEYAN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAN RUGGILL (PRESIDENT)
(734) 222-5275
Entity
Organization
Contact information
Practice address
807 WEST AVE, ELYRIA, OH 44035-5898
(440) 284-9000
(440) 284-9636
Mailing address
807 WEST AVE, ELYRIA, OH 44035-5898
(440) 284-9000
(440) 284-9636
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2527751
—
OH
Enumeration date
03/04/2019
Last updated
03/04/2019
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