Organization
BENJAMIN ROSE INSTITUTE ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK CARDINALE CPA (VP,CFO)
(216) 373-1602
Entity
Organization
Contact information
Practice address
11890 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 373-1616
(216) 373-1812
Mailing address
11890 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 373-1616
(216) 373-1812
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
367158
OH
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0478700
MEDICAID-ODJFS
OH
Enumeration date
05/02/2006
Last updated
05/20/2016
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