Healthcare Provider Details

I. General information

NPI: 1265731277
Provider Name (Legal Business Name): MUNSON HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12340 BASS LAKE RD
CHARDON OH
44024-8327
US

IV. Provider business mailing address

25000 COUNTRY CLUB BLVD STE 255
NORTH OLMSTED OH
44070-5337
US

V. Phone/Fax

Practice location:
  • Phone: 440-285-4040
  • Fax: 440-285-7278
Mailing address:
  • Phone: 440-793-2245
  • 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: SANDY MUIR
Title or Position: DIRECTOR OF GOVERNMENT AFFAIRS
Credential:
Phone: 440-793-2245