Organization
MANOR AT AUTUMN HILLS INC
Active
Other names
The Manor at Autumn Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J VINCE (CFO)
(330) 652-6745
Entity
Organization
Contact information
Practice address
2567 NILES VIENNA RD, NILES, OH 44446-5401
(330) 652-6745
(330) 652-8743
Mailing address
2567 NILES VIENNA RD, NILES, OH 44446-5401
(330) 652-6745
(330) 652-8743
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1847R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1847R
ODH LICENSE
OH
Enumeration date
07/14/2008
Last updated
08/26/2013
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