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General NPI Number Information
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NPI Number | 1316916612
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Entity Type | Organization
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Legal Business Name | SLOVENE HOME FOR THE AGED
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 18621 NEFF RD
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City | CLEVELAND
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State | OH
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Zip | 44119-3018
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Country | US
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Telephone | 216-486-0268
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Fax | 216-531-6976
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Provider Business Mailing Address
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Address Line | 18621 NEFF RD
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City | CLEVELAND
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State | OH
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Zip | 44119-3018
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Country | US
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Telephone | 216-486-0268
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Fax | 216-531-6976
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Authorized Official
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Title or Position | LICENSED NURSING HOME ADMINISTRATOR
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Name | MR. JEFFREY S SAS
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Credential | LNHA
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Telephone | 216-486-0268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 2231
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License Number State | OH
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