Organization
SANCTUARY MEDINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 725-3393
(330) 722-0850
Mailing address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 725-3393
(330) 722-0850
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1828N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142884
—
OH
Enumeration date
08/18/2015
Last updated
05/09/2016
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