Organization
SNF WADSWORTH LLC
Active
Other names
Golden Leaf Rehab & Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEITH MCMAHAN (CONTROLLER)
(440) 498-3000
Entity
Organization
Contact information
Practice address
540 GREAT OAKS TRL, WADSWORTH, OH 44281-8799
(330) 336-3472
(330) 334-2026
Mailing address
5625 EMERALD RIDGE PKWY, SOLON, OH 44139-1860
(440) 498-3000
(440) 498-8257
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2350N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319717
—
OH
Enumeration date
12/18/2006
Last updated
08/22/2020
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