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Organization

ELIZA JENNINGS HOME

Active
Parent organization
ELIZA JENNINGS SENIOR CARE NETWORK
Other names
Eliza Jennings
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELIZA JENNINGS SENIOR CARE NETWORK
Authorized official
MS. BASABI RATNAPARKHI LNHA (EXECUTIVE DIRECTOR)
(216) 226-0282
Entity
Organization

Contact information

Practice address
10603 DETROIT AVE, CLEVELAND, OH 44102-1647
(216) 226-0282
(216) 226-8905
Mailing address
10603 DETROIT AVE, CLEVELAND, OH 44102-1647
(216) 226-0282
(216) 226-8905

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4162
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0278542
OH
Enumeration date
06/13/2005
Last updated
10/21/2013
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