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General NPI Number Information
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NPI Number | 1023735701
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Entity Type | Organization
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Legal Business Name | HERITAGE AT THE BELVEDERE LLC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 29591 DETROIT RD
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City | WESTLAKE
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State | OH
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Zip | 44145-1932
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Country | US
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Telephone | 440-835-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21677
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City | CLEVELAND
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State | OH
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Zip | 44121-0677
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Country | US
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Telephone | 248-660-6082
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NATHAN STEINMETZ
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Credential |
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Telephone | 440-666-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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