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NPI Code Detail

MEDICARE: CSH-ING WOODSIDE VILLAGE LP

MEDICARE: CSH-ING WOODSIDE VILLAGE LP
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
1310400000XAssisted Living Facility6029OH

General Provider Information

NPI Number : 1447421730
Entity Type Code : Organization
Provider Name (Legal Business Name) : CSH-ING WOODSIDE VILLAGE LP
Provider Business Mailing Address
First Line : 5426 BAY CENTER DR
Second Line : SUITE #600
City : TAMPA
State : FL
Zip : 33609-3444
Country : US
Telephone Number : 813-287-3941
Fax Number :
Provider Business Practice Location Address
First Line : 19455 ROCKSIDE RD
Second Line :
City : BEDFORD
State : OH
Zip : 44146-2000
Country : US
Telephone Number : 440-439-8666
Fax Number :
Authorized Official
Title or Position : CFO
Name : JON A DELUCA
Credential :
Telephone Number : 813-287-3900
Provider Enumeration Date : 03/14/2008
Last Update Date : 03/14/2008

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Directions to “CSH-ING WOODSIDE VILLAGE LP ” Practice Location

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