| NPI | 1033599105 |
|---|---|
| Other Name | ST AUGUSTINE MANOR PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | FRANCIS S HUBA Chief Financial Officer 216-634-7555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |