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Contact Information

ELIZA BRYANT VILLAGE
7201 WADE PARK AVE
CLEVELAND, OH44103
 Phone: 216-361-6141
 Fax: 216-588-1982
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ELIZA BRYANT VILLAGE

NPI Number 1366438145
LBN Legal business name ELIZA BRYANT VILLAGE
Authorized official DANNY WILLIAMS - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/27/2005
Last updated 04/15/2019 - About 7 years ago
Identifiers
OH License # 3660
OH Medicaid 0612822
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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