Organization
LAKE COUNTY COUNCIL ONAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE BERRY MNO (CHIEF EXECUTIVE OFFICER)
(440) 205-8111
Entity
Organization
Contact information
Practice address
8520 EAST AVE, MENTOR, OH 44060-4302
(440) 205-8111
(440) 205-7055
Mailing address
8520 EAST AVE, MENTOR, OH 44060-4302
(440) 205-8111
(440) 205-7055
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
OH
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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