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WILLOW PARK CONVALESCENT HOME,INC.

Skilled Nursing Facility

Cleveland, Ohio

Provider NPI: 1194729038

Organization Information:
Organization Name:  WILLOW PARK CONVALESCENT HOME,INC.


Practice Location:
18810 HARVARD AVE  CLEVELAND, OH 44122 US
Tel: 216-752-3600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OH4104

Other Provider Identifiers:

IssuerNumberStateType
2402519OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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