Organization
WADSWORTH ALF
Active
Other names
Wadsworth Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL S. BALASCOE (CONTROLLER)
(440) 333-2132
Entity
Organization
Contact information
Practice address
540 GREAT OAKS TRL, WADSWORTH, OH 44281-8799
(330) 336-3472
(330) 334-0647
Mailing address
540 GREAT OAKS TRL, WADSWORTH, OH 44281-8799
(330) 336-3472
(330) 334-0647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2059R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2733573
—
OH
Enumeration date
02/26/2009
Last updated
02/26/2009
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