Organization
CARDINAL AVON, INC.
Active
Other names
Avon Place
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PARKER (PRESIDENT)
(330) 554-6619
Entity
Organization
Contact information
Practice address
32900 DETROIT RD, AVON, OH 44011-2018
(440) 937-6201
(440) 937-5955
Mailing address
25000 COUNTRY CLUB BLVD STE 255, NORTH OLMSTED, OH 44070-5337
(330) 554-6619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1195N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168919
—
OH
Enumeration date
05/11/2016
Last updated
11/05/2020
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