Organization
MELLON RIDGE, INC.
Active
Other names
Peebles Resident Home
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0160
Entity
Organization
Contact information
Practice address
25773 STATE ROUTE 41, PEEBLES, OH 45660-8953
(937) 587-5414
(440) 614-0168
Mailing address
22021 BROOKPARK RD, STE 123, FAIRVIEW PARK, OH 44126-3100
(440) 614-0160
(440) 614-0168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1955
OH
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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