Organization
VILLAGE OF GENEVA ON THE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEY A. OSBORNE (FISCAL OFFICER)
(440) 466-8197
Entity
Organization
Contact information
Practice address
4964 S SPENCER DR, GENEVA, OH 44041-9715
(440) 466-8197
(440) 466-8911
Mailing address
4964 S SPENCER DR, GENEVA, OH 44041-9715
(440) 466-8197
(440) 466-8911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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