ELIZA JENNINGS HOME
Skilled Nursing Facility
Cleveland, Ohio
Provider NPI: 1609870138
Organization Information:Organization Name: ELIZA JENNINGS HOME
Practice Location:
10603 DETROIT AVE CLEVELAND, OH 44102 US
Tel: 216-226-0282 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
10603 DETROIT AVE CLEVELAND, OH 44102 US
Tel: 216-226-0282 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 4162 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0278542 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin