MEDICARE: SOUTH FRANKLIN CIRCLE

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1932920592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FRANKLIN CIRCLE

Provider Business Mailing Address
First Line	:	16570 WARREN CT
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-1138
Country	:	US
Telephone Number	:	440-247-1311
Fax Number	:

Provider Business Practice Location Address
First Line	:	16570 WARREN CT
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-1138
Country	:	US
Telephone Number	:	440-247-1311
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MRS. KENDRA URDZIK
Credential	:	LNHA, MBA
Telephone Number	:	216-791-2158

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	10/17/2024

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Directions to “SOUTH FRANKLIN CIRCLE ” Practice Location

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