Organization
JUDSON
Active
Other names
JUDSON RETIREMENT COMMUNITY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA DUNN (PRESIDENT)
(216) 791-2693
Entity
Organization
Contact information
Practice address
2181 AMBLESIDE DR, CLEVELAND, OH 44106-4645
(216) 721-1234
(216) 791-5595
Mailing address
2181 AMBLESIDE DR, CLEVELAND, OH 44106-4645
(216) 721-1234
(216) 791-5595
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157017
ANTHEM BLUE CROSS
OH
05
—
0433883
—
OH
01
—
57821
QUALCHOICE
OH
Enumeration date
07/27/2005
Last updated
08/22/2020
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