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General NPI Number Information
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NPI Number | 1851881825
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Entity Type | Organization
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Legal Business Name | HOUSE OF LORETO FOR SENIOR CITIZENS
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2812 HARVARD AVE NW
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City | CANTON
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State | OH
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Zip | 44709-3155
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Country | US
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Telephone | 330-453-8137
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Fax | 330-453-8140
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Provider Business Mailing Address
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Address Line | 2812 HARVARD AVE NW
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City | CANTON
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State | OH
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Zip | 44709-3155
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Country | US
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Telephone | 330-453-8137
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Fax | 330-453-8140
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Authorized Official
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Title or Position | NURSING HOME ADMINISTRATOR
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Name | SISTER JANET HAROLD
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Credential |
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Telephone | 330-453-8137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 85
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License Number State | OH
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