Organization
CHS - LAKE ERIE, INC
Active
Other names
Madison Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA JEAN RICE (CEO)
(513) 682-2700
Entity
Organization
Contact information
Practice address
7600 S RIDGE RD, MADISON, OH 44057-9746
(440) 428-1492
(440) 428-8698
Mailing address
8200 BECKETT PARK DR, HAMILTON, OH 45011-8955
(513) 682-2700
(513) 682-2716
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0043-NH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2339642
—
OH
Enumeration date
12/01/2005
Last updated
08/22/2020
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