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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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