Healthcare Provider Details

I. General information

NPI: 1053387449
Provider Name (Legal Business Name): WEST SIDE DEUTSCHER FRAUEN VEREIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 02/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18627 SHURMER RD
STRONGSVILLE OH
44136-6150
US

IV. Provider business mailing address

18627 SHURMER RD
STRONGSVILLE OH
44136-6150
US

V. Phone/Fax

Practice location:
  • Phone: 440-238-3361
  • Fax: 440-238-3205
Mailing address:
  • Phone: 440-238-3361
  • Fax: 440-238-3205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL PSOTA
Title or Position: CEO
Credential: ESQ.
Phone: 440-238-3361