Organization
INDEPENDENCE VILLAGE AVON LAKE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALAN KNIGHT (EXECUTIVE DIRECTOR)
(440) 930-7100
Entity
Organization
Contact information
Practice address
345 LEAR RD, AVON LAKE, OH 44012-2096
(440) 930-7100
(440) 930-2679
Mailing address
345 LEAR RD, AVON LAKE, OH 44012-2096
(440) 930-7100
(440) 930-2679
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2361R
OH
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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