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:
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:
18810 HARVARD AVE CLEVELAND, OH 44122 US
Tel: 216-752-3600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 4104 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2402519 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin