NPI | 1417451949 |
---|---|
Doing Business As | SUBURBAN PAVILION |
Entity Type | Organization |
Authorized Contact | HAYLEY B WILLIAMS Attorney 216-706-3936 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1373N) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-04-26 |