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St Augustine Services Corp

St Augustine Services Corp is a health care provider in Cleveland, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7801 Detroit Ave, Cleveland, OH 44102-2813, US
Practice Location Phone216-939-7609
Practice Location Fax216-634-7423
Legal Business NameST AUGUSTINE SERVICES CORP
NPI ?1154586287
Entity TypeOrganization
Enumeration Date ? Jul 29, 2008
Last Update Date ? Jul 29, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of St Augustine Services Corp

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 4654Ohio

legacy-id-icon Legacy Provider IDs of St Augustine Services Corp

Provider IdIssuer StateIssuer TypeIssuer
0764249OhioMedicaid

official-icon Authorized Official of St Augustine Services Corp

An authorized official is an appointed official with the legal authority to make changes and/or updates to the St Augustine Services Corp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Kathie A Kazdin
Authorized Official Title/PositionBILLING MANAGER
Authorized Official Phone Number216-939-7609