Organization
HILLSTONE EJ RA HOLDINGS LLC
Active
Other names
Rae-Ann Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
4650 ROCKY RIVER DR, CLEVELAND, OH 44135-3846
(216) 267-5445
(216) 267-5936
Mailing address
544 ENTERPRISE DR STE G, LEWIS CENTER, OH 43035-9704
(937) 825-6622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0993N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093N
LICENSURE
OH
Enumeration date
10/31/2017
Last updated
10/31/2017
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