Organization
BRADLEY ROAD NURSING HOME, INC.
Active
Other names
Bradley Bay Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T. O'NEILL LNHA (PRESIDENT)
(440) 871-3474
Entity
Organization
Contact information
Practice address
605 BRADLEY RD, BAY VILLAGE, OH 44140-1670
(440) 871-3474
(440) 871-4743
Mailing address
34100 CENTER RIDGE RD, SUITE 10, NORTH RIDGEVILLE, OH 44039-5311
(440) 327-9777
(440) 327-6172
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5511
OH
314000000X
Skilled Nursing Facility
Primary
4413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2515148
—
OH
01
—
4413
OHIO DEPT. OF HEALTH
OH
Enumeration date
01/24/2007
Last updated
11/14/2007
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