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NPI Code Detail

MEDICARE: OLMSTED ASSISTED LIVING CORPORATION

MEDICARE: OLMSTED ASSISTED LIVING CORPORATION
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 Facility

General Provider Information

NPI Number : 1548804883
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLMSTED ASSISTED LIVING CORPORATION
Provider Business Mailing Address
First Line : 26376 JOHN RD
Second Line :
City : OLMSTED TWP
State : OH
Zip : 44138-1277
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26376 JOHN RD
Second Line :
City : OLMSTED TWP
State : OH
Zip : 44138-1277
Country : US
Telephone Number : 440-235-7100
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : SUZANNE CARDONE
Credential :
Telephone Number : 440-235-7100
Provider Enumeration Date : 10/30/2019
Last Update Date : 10/30/2019

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Directions to “OLMSTED ASSISTED LIVING CORPORATION ” Practice Location

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