Organization
VILLAGE OF GENEVA ON THE LAKE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN LACH (FISCAL OFFICER)
(440) 466-8197
Entity
Organization
Contact information
Practice address
4931 S WARNER DR, GENEVA, OH 44041-9719
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155980
ANTHEM
OH
05
—
0683667
—
OH
Enumeration date
07/27/2007
Last updated
02/10/2026
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