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General NPI Number Information
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NPI Number | 1346467198
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Entity Type | Organization
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Legal Business Name | WADSWORTH POINTE INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 540 GREAT OAKS TRL
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City | WADSWORTH
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State | OH
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Zip | 44281-8799
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Country | US
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Telephone | 330-336-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 540 GREAT OAKS TRAIL
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City | WADSWORTH
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State | OH
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Zip | 44281
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Country | US
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Telephone | 330-336-1141
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIM GRIFFITHS
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Credential |
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Telephone | 440-333-2132
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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 | 2350N
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License Number State | OH
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