Organization
AJ SUBURBAN PAVILION OPCO LLC
Active
Other names
Suburban Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
20265 EMERY RD, NORTH RANDALL, OH 44128-4122
(216) 475-8880
(216) 587-4806
Mailing address
555 ANTHONY WAYNE TRL, WATERVILLE, OH 43566-1516
(216) 475-8880
(216) 587-4806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1373N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373N
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
03/20/2018
Last updated
04/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us