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NPI Code Detail

MEDICARE: RAE-ANN GENEVA, INC..

MEDICARE: RAE-ANN GENEVA, 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 Facility2927OH

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 : 1437149150
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAE-ANN GENEVA, INC..
Provider Business Mailing Address
First Line : PO BOX 40175
Second Line :
City : BAY VILLAGE
State : OH
Zip : 44140-0175
Country : US
Telephone Number : 440-835-3005
Fax Number : 440-871-3776
Provider Business Practice Location Address
First Line : 839 W MAIN ST
Second Line :
City : GENEVA
State : OH
Zip : 44041-1218
Country : US
Telephone Number : 440-466-5733
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JOHN GRIFFITHS
Credential :
Telephone Number : 440-466-5733
Provider Enumeration Date : 10/25/2005
Last Update Date : 02/20/2008

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Directions to “RAE-ANN GENEVA, INC.. ” Practice Location

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