Ivy House Assisted Living, LLC
Assisted Living Facility in Painesville, OH. Organization (NPI-2).
NPI number1255596359
StatusActive
Last updated in NPPESJul 28, 2008
Details
- NPI
- 1255596359
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivy House Assisted Living, LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2008
- Last updated
- Jul 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 0080R | OH | Yes |
Practice location
308 S State StPainesville, OH 44077-3532
Phone 440-354-2131 · Fax 440-354-2068
Mailing address
308 S State StPainesville, OH 44077-3532
Phone 440-354-2131 · Fax 440-354-2068
Authorized official
Michelle M Gil
Administrator
4403542131
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