Organization
PROGRESSIVE INTERCHANGE HEALTHCARE LLC
Active
Other names
The Avenue Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SHILLER CPA (DIRECTOR OF FINANCE)
(440) 684-9220
Entity
Organization
Contact information
Practice address
4120 INTERCHANGE CORPORATE CENTER RD, WARRENSVILLE HEIGHTS, OH 44128-5631
(216) 896-9900
Mailing address
5553 BROADVIEW RD, PARMA, OH 44134-1604
(216) 661-6800
(216) 739-3789
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083336
—
OH
Enumeration date
06/22/2010
Last updated
05/03/2021
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