Organization
FHS PINE GROVE, INC.
Active
Other names
PINE GROVE HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 343-2053
Entity
Organization
Contact information
Practice address
840 SHERMAN ST, GENEVA, OH 44041-9101
(440) 415-0502
(440) 415-0504
Mailing address
25000 COUNTRY CLUB BLVD STE 255, NORTH OLMSTED, OH 44070-5337
(440) 614-0160
(440) 614-0168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1405N
OH
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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