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NPI Code Detail

MEDICARE: UNIVERSITY MANOR HEALTHCARE GROUP, INC

MEDICARE: UNIVERSITY MANOR HEALTHCARE GROUP, 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 Facility5326OH

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 : 1760593818
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY MANOR HEALTHCARE GROUP, INC
Provider Business Mailing Address
First Line : 23700 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5827
Country : US
Telephone Number : 216-292-5706
Fax Number :
Provider Business Practice Location Address
First Line : 2186 AMBLESIDE DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4620
Country : US
Telephone Number : 216-721-1400
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM I WEISBERG
Credential :
Telephone Number : 216-292-5706
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/14/2022

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Directions to “UNIVERSITY MANOR HEALTHCARE GROUP, INC ” Practice Location

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