Organization
CANTERBURY VILLA OPERATIONS CORP
Active
Other names
Canterbury Villa of Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 793-2245
Entity
Organization
Contact information
Practice address
1785 N FRESHLEY AVE, ALLIANCE, OH 44601-8772
(330) 821-4000
(330) 821-6127
Mailing address
25000 COUNTRY CLUB BLVD STE 255, NORTH OLMSTED, OH 44070-5337
(440) 793-2245
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1774N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450824
—
OH
Enumeration date
06/01/2005
Last updated
03/19/2024
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