Organization
CLEVELAND HEALTHCARE GROUP, INC.
Active
Other names
Homestead I
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM I WEISBERG (ITS VP)
(216) 292-5706
Entity
Organization
Contact information
Practice address
164 LIBERTY ST, PAINESVILLE, OH 44077-3331
(440) 357-6181
(440) 357-1142
Mailing address
164 LIBERTY ST, PAINESVILLE, OH 44077-3331
(440) 357-6181
(440) 357-1142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2513686
—
OH
Enumeration date
08/31/2006
Last updated
08/22/2020
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