Organization
EDJ LLC
Active
Parent organization
EDJ LLC
Other names
Briarfield Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDJ LLC
Authorized official
ROBERT WILLIAM RUPEKA (CFO)
(330) 726-5790
Entity
Organization
Contact information
Practice address
461 S. CANFIELD-NILES ROAD, AUSTINTOWN, OH 44515
(330) 270-3468
Mailing address
1419 BOARDMAN-CANFIELD ROAD, SUITE 500, BOARDMAN, OH 44512-8071
(330) 726-5790
(330) 726-5792
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732127
—
OH
Enumeration date
10/04/2023
Last updated
10/04/2023
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