Healthcare Provider Details

I. General information

NPI: 1912265620
Provider Name (Legal Business Name): ATRIUM RETIREMENT CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2012
Last Update Date: 05/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35755 DETROIT RD
AVON OH
44011-1689
US

IV. Provider business mailing address

2 EASTON OVAL SUITE 210
COLUMBUS OH
43219-6036
US

V. Phone/Fax

Practice location:
  • Phone: 614-416-2638
  • Fax:
Mailing address:
  • Phone: 614-416-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM J WHITE
Title or Position: AR MANAGER
Credential:
Phone: 614-416-2638