Organization
CSH-ING WOODSIDE VILLAGE LP
Active
Parent organization
CSH-INGRE LLC
Other names
Woodside Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
CSH-INGRE LLC
Authorized official
JON A DELUCA (CFO)
(813) 287-3900
Entity
Organization
Contact information
Practice address
19455 ROCKSIDE RD, BEDFORD, OH 44146-2000
(440) 439-8666
Mailing address
5426 BAY CENTER DR, SUITE #600, TAMPA, FL 33609-3444
(813) 287-3941
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6029
OH
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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