Organization
INNER CITY NURSING HOME INC
Active
Other names
Fairfax Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN GEORGE PYE (PRESIDENT & CEO)
(216) 795-1363
Entity
Organization
Contact information
Practice address
9014 CEDAR AVE, CLEVELAND, OH 44106-2932
(216) 795-1363
(216) 795-1573
Mailing address
9014 CEDAR AVE, CLEVELAND, OH 44106-2932
(216) 795-1363
(216) 795-1573
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364369
—
OH
Enumeration date
10/17/2005
Last updated
03/09/2012
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