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NPI Code Detail

MEDICARE: 60 GENEVA HEALTH CARE, INC.

MEDICARE: 60 GENEVA HEALTH CARE, 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 Facility1659OH

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 : 1538245790
Entity Type Code : Organization
Provider Name (Legal Business Name) : 60 GENEVA HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 22021 BROOKPARK RD
Second Line : STE 123
City : FAIRVIEW PARK
State : OH
Zip : 44126-3100
Country : US
Telephone Number : 440-614-0160
Fax Number : 440-614-0168
Provider Business Practice Location Address
First Line : 60 WEST ST
Second Line :
City : GENEVA
State : OH
Zip : 44041-9723
Country : US
Telephone Number : 440-466-1181
Fax Number : 440-466-9165
Authorized Official
Title or Position : PRESIDENT
Name : BRIAN COLLERAN
Credential :
Telephone Number : 440-614-0160
Provider Enumeration Date : 10/31/2006
Last Update Date : 06/13/2008

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Directions to “60 GENEVA HEALTH CARE, INC. ” Practice Location

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