Organization
VILLAGE AT MARYMOUNT
Active
Other names
Villa St. Joseph
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFRY A. MYERS CPA (C.O.O.)
(216) 587-8627
Entity
Organization
Contact information
Practice address
5200 MARYMOUNT VILLAGE DRIVE, GARFIELD HEIGHTS, OH 44125-2914
(216) 587-8627
Mailing address
5200 MARYMOUNT VILLAGE DRIVE, GARFIELD HTS., OH 44125
(216) 587-8627
(216) 332-1619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2463N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2710749
—
OH
Enumeration date
11/01/2006
Last updated
12/19/2014
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