Organization
OAK HILLS NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA GWYN BUCHANAN MACCCSLP (SPEECH LANGUAGE PATHOLOGIST)
(440) 282-9171
Entity
Organization
Contact information
Practice address
3650 BEAVERCREST DR, LORAIN, OH 44053-1710
(440) 282-9171
Mailing address
32220 ELECTRIC BLVD, AVON LAKE, OH 44012-1826
(440) 933-3222
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
5199
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5199
SPEECH THERAPT LICENSE
OH
Enumeration date
06/27/2007
Last updated
07/07/2008
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