Organization
MEADOW FALLS MADISON OPCO LLC
Active
Other names
Lantern of Madison
Organization subpart
No
Provider details
NPI number
Authorized official
AVI LUSTIG (PRESIDENT)
(440) 428-2664
Entity
Organization
Contact information
Practice address
2041 HUBBARD RD, MADISON, OH 44057-2565
(440) 428-2664
Mailing address
2041 HUBBARD RD, MADISON, OH 44057-2565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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