Organization
LUTHERAN HOME
Active
Other names
Lutheran Home at Concord Reserve
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MCNEA LNHA (ADMINISTRATOR)
(440) 871-0090
Entity
Organization
Contact information
Practice address
2116 DOVER CENTER ROAD, WESTLAKE, OH 44145-3154
(440) 871-0090
(440) 871-7289
Mailing address
2116 DOVER CENTER ROAD, WESTLAKE, OH 44145-3154
(440) 871-0090
(440) 871-7289
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0442N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5345200
—
OH
Enumeration date
10/02/2006
Last updated
04/17/2014
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