Organization
GRACE WOODS SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J FABIAN N.H.A. (CHIEF EXECUTIVE OFFICER)
(330) 652-4177
Entity
Organization
Contact information
Practice address
730 YOUNGSTOWN WARREN RD, NILES, OH 44446-3578
(330) 652-4177
(330) 652-2295
Mailing address
730 YOUNGSTOWN WARREN RD, NILES, OH 44446-3578
(330) 652-4177
(330) 652-2295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2425R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2706521
—
OH
Enumeration date
04/26/2007
Last updated
08/22/2020
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