Organization
AJ CANDLEWOOD PARK OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
1835 BELMORE RD, CLEVELAND, OH 44112-4301
(216) 268-3600
(216) 761-1322
Mailing address
555 ANTHONY WAYNE TRL, WATERVILLE, OH 43566-1516
(330) 720-0406
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1426N
OH
Other
Enumeration date
03/20/2018
Last updated
04/26/2018
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