Organization
MAJESTIC CARE OF CEDAR VILLAGE LLC
Active
Other names
Majestic Care of Cedar Village
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PRUITT III (CEO)
(317) 288-4029
Entity
Organization
Contact information
Practice address
5467 CEDAR VILLAGE DR, MASON, OH 45040-8693
(513) 754-3100
(513) 336-3174
Mailing address
5467 CEDAR VILLAGE DR, MASON, OH 45040-8693
(513) 754-3100
(513) 336-3174
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109N
LICENSURE
OH
Enumeration date
03/28/2022
Last updated
07/20/2023
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