Organization
MENORAH PARK CENTER FOR SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANN MINNIE (DIRECTOR REVENUE CYCLE)
(216) 910-2550
Entity
Organization
Contact information
Practice address
27100 CEDAR RD, BEACHWOOD, OH 44122-1109
(216) 831-6500
(216) 831-5492
Mailing address
27100 CEDAR RD, BEACHWOOD, OH 44122-1109
(216) 831-6500
(216) 831-5492
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
5870
OH
314000000X
Skilled Nursing Facility
5870
OH
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4366958
—
OH
Enumeration date
04/18/2006
Last updated
03/17/2021
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