Organization
SANCTUARY WADSWORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
365 JOHNSON RD, WADSWORTH, OH 44281-8609
(330) 335-1558
(330) 336-3273
Mailing address
365 JOHNSON RD, WADSWORTH, OH 44281-8609
(330) 335-1558
(330) 336-3273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1700N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142869
—
OH
Enumeration date
08/18/2015
Last updated
05/09/2016
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