Organization
OHIO EXTENDED CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M. DOHERTY (ADMINISTRATOR)
(440) 282-2244
Entity
Organization
Contact information
Practice address
3364 KOLBE RD, LORAIN, OH 44053-1628
(440) 282-2244
(440) 282-7709
Mailing address
3364 KOLBE RD, LORAIN, OH 44053-1628
(440) 282-2244
(440) 282-7709
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
365623
OH
Other
Enumeration date
11/03/2005
Last updated
08/22/2020
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