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Eliza Jennings Home

Eliza Jennings Home 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 10603 Detroit Ave, Cleveland, OH 44102-1647, US
Practice Location Phone216-226-0282
Practice Location Fax216-226-8905
Legal Business NameELIZA JENNINGS HOME
Other Organization NameELIZA JENNINGS
Other Organization Name TypeDoing Business As Name
NPI ?1609870138
Entity TypeOrganization
Enumeration Date ? Jun 13, 2005
Last Update Date ? Oct 21, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Eliza Jennings Home

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 4162Ohio

legacy-id-icon Legacy Provider IDs of Eliza Jennings Home

Provider IdIssuer StateIssuer TypeIssuer
0278542OhioMedicaid

official-icon Authorized Official of Eliza Jennings Home

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

Authorized Official Ms. Basabi Ratnaparkhi (LNHA)
Authorized Official Title/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number216-226-0282