Healthcare Provider Details

I. General information

NPI: 1710011820
Provider Name (Legal Business Name): THE URSULINE ACADEMY OF CLEVELAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 LANDER RD
PEPPER PIKE OH
44124-4320
US

IV. Provider business mailing address

2600 LANDER RD
PEPPER PIKE OH
44124-4320
US

V. Phone/Fax

Practice location:
  • Phone: 440-449-1200
  • Fax: 440-449-4052
Mailing address:
  • Phone:
  • 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: ANGELITA ZAWADA, OSU
Title or Position: PRESIDENT
Credential:
Phone: 440-449-1200