Organization
CHS - LAKE ERIE, INC
Active
Other names
Bryden Place
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0160
Entity
Organization
Contact information
Practice address
1169 BRYDEN RD, COLUMBUS, OH 43205-1928
(614) 258-6623
(614) 258-8171
Mailing address
25000 COUNTRY CLUB BLVD, SUITE 255, NORTH OLMSTED, OH 44070-5344
(440) 614-0160
(440) 614-0168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6254
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2339599
—
OH
Enumeration date
12/01/2005
Last updated
03/09/2011
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