Organization
THE VILLAGE OF ST. EDWARD AT WADSWORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE MAUR (CHIEF OPERATING OFFICER)
(234) 466-5210
Entity
Organization
Contact information
Practice address
880 MAIN ST, WADSWORTH, OH 44281-1583
(234) 217-8735
Mailing address
3131 SMITH RD, FAIRLAWN, OH 44333-2613
(234) 466-5210
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624531137
—
OH
Enumeration date
12/10/2020
Last updated
12/16/2020
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