Organization
CSL CHARDON, LLC
Active
Other names
Residence of Chardon
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA HOLLAND (VP OF FINANCE)
(972) 770-5600
Entity
Organization
Contact information
Practice address
501 CHARDON WINDSOR RD, CHARDON, OH 44024-8944
(440) 286-2277
Mailing address
14160 DALLAS PKWY, DALLAS, TX 75254-4319
(972) 770-5600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074878
—
OH
Enumeration date
03/09/2018
Last updated
06/16/2018
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