| NPI | 1942890306 |
|---|---|
| Doing Business As | CONVALARIUM AT INDIAN RUN |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DEGYANSKY Vice President Of Operations 330-620-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-12-17 |