Organization
LAKEWOOD HEALTH CARE CENTER, INC.
Active
Other names
EnnisCourt
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE M. CAMPBELL LNHA (PRESIDENT)
(216) 226-3858
Entity
Organization
Contact information
Practice address
13315 DETROIT AVE, LAKEWOOD, OH 44107-2849
(216) 226-3858
(216) 226-8344
Mailing address
13315 DETROIT AVE, LAKEWOOD, OH 44107-2849
(216) 226-3858
(216) 226-8344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5803
OH
313M00000X
Nursing Facility/Intermediate Care Facility
4943
OH
314000000X
Skilled Nursing Facility
Primary
4943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375964
—
OH
Enumeration date
06/22/2005
Last updated
06/26/2019
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