Organization
2473 NORTH ROAD NE OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
2473 NORTH RD NE, WARREN, OH 44483-3054
(330) 372-2251
Mailing address
2121 S GREEN RD STE 100, SOUTH EUCLID, OH 44121-3318
(330) 372-2251
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1253N
LICENSURE
OH
Enumeration date
04/23/2020
Last updated
04/23/2020
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