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Good Samaritan Nursing Home, LLC

Skilled Nursing Facility in Avon, OH. Organization (NPI-2).

NPI number1982807954
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1982807954
Entity type
Organization (NPI-2)
Legal business name
Good Samaritan Nursing Home, LLC
Organization subpart
No
Enumeration date
Jun 7, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

32900 Detroit Rd
Avon, OH 44011-2018

Phone 440-937-0410 · Fax 440-937-9384

Mailing address

32900 Detroit Rd
Avon, OH 44011-2018

Phone 440-937-0410 · Fax 440-937-9384

Authorized official

William Shackleford
Administrator
4409370410

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