Organization
SL FREMONT, LLC
Active
Other names
Rutherford House
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J LEVY (MANGER)
(312) 673-4333
Entity
Organization
Contact information
Practice address
805 S BUCHANAN ST, FREMONT, OH 43420-4992
(419) 334-6962
Mailing address
303 E WACKER DR STE 2400, CHICAGO, IL 60601-7800
(312) 673-4333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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