Organization
OLMSTED HEALTH & SERVICES CORP.
Active
Other names
ELIZA JENNINGS SENIOR CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WAYNE MD (MEDICAL DIRECTOR)
(440) 235-7100
Entity
Organization
Contact information
Practice address
26376 JOHN RD, OLMSTED FALLS, OH 44138-1277
(440) 235-7100
Mailing address
PO BOX 246, NORTH OLMSTED, OH 44070-0246
(440) 777-6017
(440) 777-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0840068
—
OH
Enumeration date
01/11/2006
Last updated
08/22/2020
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