Organization · NPI-2

Aj Candlewood Park Opco LLC

Skilled Nursing Facility · Cleveland, OH

NPI number1497259923
StatusActive
Last updated in NPPESApr 26, 2018

Details

NPI
1497259923
Entity type
Organization (NPI-2)
Legal business name
Aj Candlewood Park Opco LLC
Organization subpart
No
Enumeration date
Mar 20, 2018
Last updated
Apr 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility1426NOHYes

Practice location

1835 Belmore Rd
Cleveland, OH 44112-4301

Phone 216-268-3600 · Fax 216-761-1322

Mailing address

555 Anthony Wayne Trl
Waterville, OH 43566-1516

Phone 330-720-0406

Authorized official

Hayley B Williams
Attorney
2167063936

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