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Organization

MENORAH PARK AMBULANCE AND MEDICAL TRANSPORTATION, LLC

Active
Parent organization
MENORAH PARK CENTER FOR SENIOR LIVING
Organization subpart
Yes

Provider details

NPI number
Legal business name
MENORAH PARK CENTER FOR SENIOR LIVING
Authorized official
STEVEN RAICHILSON (CEO)
(216) 831-6500
Entity
Organization

Contact information

Practice address
27100 CEDAR RD, BEACHWOOD, OH 44122-1109
(216) 831-6500
(216) 831-5492
Mailing address
27100 CEDAR RD, BEACHWOOD, OH 44122-1109
(216) 831-6500
(216) 831-5492

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
04167
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
188815
OH

Other

Enumeration date
03/10/2014
Last updated
03/10/2014
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