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NPI Code Detail

MEDICARE: FALLS VILLAGE RETIREMENT COMMUNITY LTD

MEDICARE: FALLS VILLAGE RETIREMENT COMMUNITY LTD
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 Facility
2314000000XSkilled Nursing FacilityOH

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 : 1639242910
Entity Type Code : Organization
Provider Name (Legal Business Name) : FALLS VILLAGE RETIREMENT COMMUNITY LTD
Provider Business Mailing Address
First Line : 330 BROADWAY ST E
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3312
Country : US
Telephone Number : 330-945-9797
Fax Number : 330-920-6476
Provider Business Practice Location Address
First Line : 330 BROADWAY ST E
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3312
Country : US
Telephone Number : 330-945-9797
Fax Number :
Authorized Official
Title or Position : PRESIDENT OF MANAGER
Name : MICHAEL J. FRANCUS
Credential :
Telephone Number : 330-929-0009
Provider Enumeration Date : 11/16/2006
Last Update Date : 03/11/2022

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Directions to “FALLS VILLAGE RETIREMENT COMMUNITY LTD ” Practice Location

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