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NPI Code Detail

MEDICARE: FRANKLIN BOULEVARD NURSING HOME, INC.

MEDICARE: FRANKLIN BOULEVARD NURSING HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory36D0866131OH

General Provider Information

NPI Number : 1538325923
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANKLIN BOULEVARD NURSING HOME, INC.
Provider Business Mailing Address
First Line : 3600 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2831
Country : US
Telephone Number : 216-651-1600
Fax Number :
Provider Business Practice Location Address
First Line : 3600 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2831
Country : US
Telephone Number : 216-651-1600
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. BRUCE DASKAL
Credential :
Telephone Number : 216-898-8399
Provider Enumeration Date : 08/05/2008
Last Update Date : 08/05/2008

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1093853491 — DR. ROGELIA BULILAN MEDIDAS M.D
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1104034891 — YASENKA GOVERDOVSKI LISW
Practice Location Address:
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1003885849 — EPILEPSY ASSOCIATION
Practice Location Address:
2831 PROSPECT AVE
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Directions to “FRANKLIN BOULEVARD NURSING HOME, INC. ” Practice Location

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