Organization
ALTERCARE, INC.
Active
Other names
The Northridge Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. WICKES DVM (PRESIDENT)
(330) 468-1200
Entity
Organization
Contact information
Practice address
35990 WESTMINISTER AVE, NORTH RIDGEVILLE, OH 44039-1373
(440) 327-8511
(440) 327-8798
Mailing address
35990 WESTMINISTER AVE, NORTH RIDGEVILLE, OH 44039-1373
(440) 327-8511
(440) 327-8598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3546
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572376
—
OH
01
—
3546
OHIO DEPT. OF HEALTH
OH
Enumeration date
01/24/2007
Last updated
08/26/2007
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