Organization
SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.
Active
Other names
Shepherd of the Valley Poland
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BROWN C.F.O. (ASSOCIATE DIRECTOR/C.F.O.)
(330) 530-4038
Entity
Organization
Contact information
Practice address
301 W WESTERN RESERVE RD, POLAND, OH 44514-3527
(330) 726-7110
(330) 726-2517
Mailing address
5525 SILICA RD, AUSTINTOWN, OH 44515-1002
(330) 530-4038
(330) 530-4039
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054967
—
OH
Enumeration date
07/11/2013
Last updated
07/11/2013
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