Organization
BJ'S HAVEN /BJ'S HAVEN II
Active
Other names
BJ'S HAVEN ADULT CARE FACIALITY
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE JEAN MCALLISTER (EXECUTOR,TRUSTEE)
(216) 206-1868
Entity
Organization
Contact information
Practice address
3934 E 75TH ST, 7426 WORLEY AVENUE, CLEVELAND, OH 44105-3800
(216) 206-1868
Mailing address
7426 WORLEY AVE, CLEVELAND, OH 44105-3835
(216) 206-1868
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
2679AFH
OH
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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