Blc The Fairways Lh Llc

NPI 1063736213 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063736213
Enumeration Date 03/17/2010
Last Updated 03/17/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN P JOHN
Position CO-PRESIDENT
Phone (440) 943-2050
Fax
Practice Location
30630 RIDGE RD
WICKLIFFE OH, 44092-1166, US
Phone (440) 943-2050
Fax
Business Location
30630 RIDGE RD
WICKLIFFE OH, 44092-1166, US
Phone (440) 943-2050
Fax
Toxanomy
Taxonomy Code 310400000X
License State Ohio
License Number 2201R
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According to our database, Blc The Fairways Lh Llc NPI is 1063736213, taxonomy code is 310400000X and license number is 2201R, license state is located at Ohio. Blc The Fairways Lh Llc physically located at 30630 Ridge Rd, Wickliffe OH, 44092-1166. NPI Number 1033115704 has the healthcare provider type.

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1063736213 NPI number is provided on an as is basis without warranty of any kind. 1063736213 is maintained by the National Plan & Provider Enumeration System. The contents of Blc The Fairways Lh Llc are for informational purposes only.