Organization
LARCHWOOD HEALTH GROUP LLC
Active
Other names
Larchwood Village Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA VERZI (CFO)
(440) 937-0425
Entity
Organization
Contact information
Practice address
4110 ROCKY RIVER DR, CLEVELAND, OH 44135-1175
(440) 937-0425
Mailing address
14518 DETROIT AVE REAR, LAKEWOOD, OH 44107-4368
(216) 273-7532
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092162
—
OH
Enumeration date
08/07/2013
Last updated
04/10/2014
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