Organization
PROGRESSIVE PARMA CARE CENTER LLC
Active
Other names
Parma Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SHILLER (DIRECTOR OF FINANCE)
(440) 684-9220
Entity
Organization
Contact information
Practice address
5553 BROADVIEW RD, PARMA, OH 44134-1604
(216) 661-6800
(216) 739-3789
Mailing address
5553 BROADVIEW RD, PARMA, OH 44134-1604
(216) 661-6800
(216) 739-3789
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1474
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324704
ANTHEM BC/BS
OH
05
—
2438099
—
OH
Enumeration date
05/31/2005
Last updated
05/03/2021
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