Organization
ST. EDWARD HOME
Active
Other names
The Village of St. Edward
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE GLADDEN (CONTROLLER)
(234) 466-5214
Entity
Organization
Contact information
Practice address
3131 SMITH RD, FAIRLAWN, OH 44333-2613
(330) 666-1183
Mailing address
3131 SMITH RD, FAIRLAWN, OH 44333-2613
(330) 666-1183
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2832395
—
OH
Enumeration date
05/01/2024
Last updated
05/01/2024
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