Organization
WRSC ACQUISITION GROUP, LLC
Active
Other names
WESTERN RESERVE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE A SIMON (ADMINISTRATOR)
(330) 677-3292
Entity
Organization
Contact information
Practice address
1930 STATE ROUTE 59, KENT, OH 44240-4112
(330) 677-3292
(330) 677-3624
Mailing address
1930 STATE ROUTE 59, KENT, OH 44240-4112
(330) 677-3292
(330) 677-3624
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0027AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585680
—
OH
Enumeration date
12/13/2005
Last updated
08/22/2020
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