Organization
NORTH SHORE RETIREMENT COMMUNITY
Active
Other names
Otterbein North Shore Retirement Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHRIS GREEN CPA (TREASURER & CFO)
(513) 933-5418
Entity
Organization
Contact information
Practice address
9400 E NORTHSHORE BLVD, LAKESIDE, OH 43440-1337
(419) 798-8203
(419) 798-4662
Mailing address
9400 E NORTHSHORE BLVD, LAKESIDE, OH 43440-1337
(419) 798-8203
(419) 798-4662
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2057N
OH
314000000X
Skilled Nursing Facility
NA
OH
Other
Enumeration date
04/11/2007
Last updated
02/09/2015
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