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Organization

RICHMOND HEIGHTS CCRC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization

Contact information

Practice address
562 RICHMOND RD, RICHMOND HEIGHTS, OH 44143-2906
(216) 291-8585
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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