Organization
MIDDLEBURG HEIGHTS ALF OPERATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MILLER (VICE PRESIDENT)
(614) 425-4218
Entity
Organization
Contact information
Practice address
15435 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4827
(440) 887-1125
Mailing address
160 MERCER ST APT 104, JERSEY CITY, NJ 07302-4277
(614) 425-4218
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
09/12/2023
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