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Organization

CHS - LAKE ERIE, INC

Active
Other names
Forest Hills Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0160
Entity
Organization

Contact information

Practice address
2841 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43231-4037
(614) 891-1111
(614) 891-2037
Mailing address
25000 COUNTRY CLUB BLVD, SUITE 255, NORTH OLMSTED, OH 44070-5344
(440) 614-0160
(440) 614-0168

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6258
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2339295
OH
Enumeration date
12/01/2005
Last updated
03/09/2011
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