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NPI Code Detail

MEDICARE: FRANKLIN BOULEVARD NURSING HOME, INC.

MEDICARE: FRANKLIN BOULEVARD NURSING HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2806OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235230533
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANKLIN BOULEVARD NURSING HOME, INC.
Provider Business Mailing Address
First Line : 12380 PLAZA DR
Second Line :
City : PARMA
State : OH
Zip : 44130-1043
Country : US
Telephone Number : 216-898-8399
Fax Number : 216-898-8455
Provider Business Practice Location Address
First Line : 3600 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2831
Country : US
Telephone Number : 216-898-8399
Fax Number : 216-898-8455
Authorized Official
Title or Position : PRESIDENT/CEO
Name : BRUCE DASKAL
Credential :
Telephone Number : 216-898-8399
Provider Enumeration Date : 09/26/2006
Last Update Date : 08/22/2020

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2831 PROSPECT AVE
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Directions to “FRANKLIN BOULEVARD NURSING HOME, INC. ” Practice Location

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