Organization
JARVIS LEASING CO., LLC
Active
Other names
Pebble Creek Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R STOLTZ (SECRETARY / TREASURER)
(513) 530-1808
Entity
Organization
Contact information
Practice address
670 JARVIS RD, AKRON, OH 44319-2538
(330) 645-0200
(330) 645-0316
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
(513) 530-1808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1886N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2607110
—
OH
Enumeration date
11/04/2005
Last updated
05/01/2025
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