Organization
HARBORSIDE OF CLEVELAND LIMITED
Active
Parent organization
HARBORSIDE HEALTH I LLC
Other names
Park East Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBORSIDE HEALTH I LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
3800 PARK EAST DR, BEACHWOOD, OH 44122-4316
(216) 831-4303
(216) 831-1032
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(505) 468-4742
(505) 468-8742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2281338
—
OH
Enumeration date
08/21/2006
Last updated
09/24/2015
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