Organization
FRONT LEASING CO., LLC
Active
Other names
Aristocrat Berea ICF/MR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA RENEE HUMBERT (EXECUTIVE ASSISTANT TO CFO)
(513) 530-1622
Entity
Organization
Contact information
Practice address
255 FRONT ST, BEREA, OH 44017-1943
(440) 243-4000
(440) 891-3446
Mailing address
4700 ASHWOOD DR, SUITE 200, CINCINNATI, OH 45241-2465
(513) 489-7100
(513) 489-7199
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
25392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2607058
—
OH
01
—
4625750005
DMERC
OH
Enumeration date
01/14/2008
Last updated
04/15/2008
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