Organization
DEIRDRE'S VINTAGE HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIRDRE FAITH NEWMAN L.P.N. (OWNER/MANAGER)
(440) 476-8905
Entity
Organization
Contact information
Practice address
27277 BAGLEY RD, OLMSTED FALLS, OH 44138-1001
(440) 476-8905
(440) 793-6359
Mailing address
27277 BAGLEY RD, OLMSTED FALLS, OH 44138-1001
(440) 476-8905
(440) 793-6359
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
3270AGH
OH
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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