Organization
LAKEWOOD SENIOR CAMPUS, LLC
Active
Parent organization
LAKEWOOD SENIOR CAMPUS, LLC
Other names
O'Neill Healthcare Lakewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEWOOD SENIOR CAMPUS, LLC
Authorized official
JOHN T O'NEILL (PRESIDENT)
(400) 387-5555
Entity
Organization
Contact information
Practice address
13900 DETROIT AVE, LAKEWOOD, OH 44107-4624
(216) 228-7650
(216) 228-7655
Mailing address
38642 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-5812
(440) 387-5500
(440) 327-6172
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2887005
—
OH
Enumeration date
04/30/2024
Last updated
04/30/2024
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