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General NPI Number Information
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NPI Number | 1841347200
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Entity Type | Organization
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Legal Business Name | WELLINGTON PLACE, LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 4800 CLAGUE RD
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-6207
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Country | US
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Telephone | 440-734-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 34100 CENTER RIDGE RD SUITE 10
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-5311
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Country | US
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Telephone | 440-327-9777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN T. O'NEILL
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Credential |
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Telephone | 440-387-5500
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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 | 2329R
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2329-N
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License Number State | OH
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