MEDICARE: SLOVENE HOME FOR THE AGED

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
1	313M00000X	Nursing Facility/Intermediate Care Facility	2231	OH

General Provider Information

NPI Number	:	1316916612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLOVENE HOME FOR THE AGED

Provider Business Mailing Address
First Line	:	18621 NEFF RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-3018
Country	:	US
Telephone Number	:	216-486-0268
Fax Number	:	216-531-6976

Provider Business Practice Location Address
First Line	:	18621 NEFF RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-3018
Country	:	US
Telephone Number	:	216-486-0268
Fax Number	:	216-531-6976

Authorized Official
Title or Position	:	LICENSED NURSING HOME ADMINISTRATOR
Name	:	MR. JEFFREY S SAS
Credential	:	LNHA
Telephone Number	:	216-486-0268

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	10/31/2008

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Directions to “SLOVENE HOME FOR THE AGED ” Practice Location

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