Organization · NPI-2

17322 Euclid Avenue Company LLC

Skilled Nursing Facility · Cleveland, OH

NPI number1427437698
StatusActive
Last updated in NPPESJun 30, 2021

Details

NPI
1427437698
Entity type
Organization (NPI-2)
Legal business name
17322 Euclid Avenue Company LLC
Organization subpart
No
Enumeration date
May 21, 2015
Certification date
Jun 30, 2021
Last updated
Jun 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility0318NOHYes

Other names

  • Eastbrook Healthcare Center (Doing Business As)
  • Rudwick Manor Special Care Center (Doing Business As)

Practice location

17322 Euclid Ave
Cleveland, OH 44112-1210

Phone 216-486-2280 · Fax 216-383-4307

Mailing address

17322 Euclid Ave
Cleveland, OH 44112-1210

Phone 216-486-2280 · Fax 216-383-4307

Authorized official

Hayley B Williams
Attorney
2167063936

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