| Eldercare Services Institute, Llc | |
|
11890 Fairhill Rd Cleveland OH 44120-1053 | |
| (216) 791-8000 | |
| (216) 373-1816 |
| Full Name | Eldercare Services Institute, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11890 Fairhill Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Mary S Marita (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2163731807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldercare Services Institute, Llc 11890 Fairhill Rd Cleveland OH 44120-1053 Ph: (216) 791-8000 | Eldercare Services Institute, Llc 11890 Fairhill Rd Cleveland OH 44120-1053 Ph: (216) 791-8000 |
| NPI Number | 1013554245 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013554245 | NPI | - | NPPES |
| 2871950 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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