Deirdre'S Vintage House LLC
Organization Active NPI Adult Care Home Facility · Olmsted Falls, OH
NPI 1386974582 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1386974582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 3270AGH (OH)
- Legal business name
- DEIRDRE'S VINTAGE HOUSE LLC
- Practice address
- 27277 Bagley Rd
Olmsted Falls, OH 44138-1001 - Phone
- (440) 476-8905
- Fax
- (440) 793-6359
- NPI assigned
- Jan 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Deirdre Faith Newman, L.P.N.
- Title
- Owner/Manager
- Phone
- (440) 476-8905
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 3270AGH | OH | Yes |
Addresses
Primary practice location
27277 Bagley Rd
Olmsted Falls, OH 44138-1001
Mailing address
27277 Bagley Rd
Olmsted Falls, OH 44138-1001
Phone (440) 476-8905
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.