Organization
VILLA CAMILLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE SCHIRHART (OWNER)
(440) 236-5091
Entity
Organization
Contact information
Practice address
10515 E RIVER RD, COLUMBIA STATION, OH 44028-9575
(440) 236-5091
(440) 236-8909
Mailing address
10515 E RIVER RD, COLUMBIA STATION, OH 44028-9575
(440) 236-5091
(440) 236-8909
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1755N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164049
—
OH
Enumeration date
03/23/2007
Last updated
06/20/2012
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