Organization
ST. MARY OF THE WOODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BAILEY (EXECUTIVE DIRECTOR)
(440) 937-3111
Entity
Organization
Contact information
Practice address
35755 DETROIT RD, AVON, OH 44011-1689
(440) 937-3111
(440) 937-2738
Mailing address
35755 DETROIT RD, AVON, OH 44011-1689
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2439N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2439N
STATE LICENSE NUMBER
OH
Enumeration date
07/18/2006
Last updated
06/14/2012
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