Organization
GUSTAVUS SENIOR CARE
Active
Organization
GUSTAVUS SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESLIE MILLER (CHAIRMAN OF BOARD)
(330) 876-6573
Entity
Organization
Contact information
Practice address
8785 YOUNGSTOWN KINGSVILLE RD, FARMDALE, OH 44417-9803
(330) 355-7000
Mailing address
8785 YOUNGSTOWN KINGSVILLE RD, FARMDALE, OH 44417-9803
(330) 355-7000
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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