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Organization

ST. EDWARD HOME

Active
Other names
The Village at St. Edward
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRIAN RENKAS CPA (V.P. FINANCE/CFO)
(330) 666-1183
Entity
Organization

Contact information

Practice address
3131 SMITH RD, FAIRLAWN, OH 44333-2613
(330) 666-1183
(330) 666-2721
Mailing address
3131 SMITH RD, FAIRLAWN, OH 44333-2613
(330) 666-1183
(330) 666-2721

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1181N
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127900
OH
Enumeration date
11/21/2005
Last updated
12/28/2020
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