Organization
RAE-ANN SUBURBAN, INC.
Active
Other names
Tuk - Us - In, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. GRIFFITHS LNHA (PRESIDENT)
(440) 835-3005
Entity
Organization
Contact information
Practice address
29505 DETROIT RD, WESTLAKE, OH 44145-1932
(440) 871-5181
Mailing address
PO BOX 40175, BAY VILLAGE, OH 44140-0175
(440) 835-3005
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348145
—
OH
Enumeration date
10/25/2005
Last updated
08/08/2014
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