Independence Village Avon Lake Llc.

NPI #1245645332 in Avon Lake, Ohio

Provider Information

NPI Number
1245645332
Entity Type
Organization
Organization Name
Independence Village Avon Lake Llc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 26, 2014
Last Updated
Jun 26, 2014

Practice Location

Address
345 LEAR RD
State
Ohio
ZIP Code
44012-2096
Phone
(440) 930-7100

Authorized Official

Name
MR. JEFFREY ALAN KNIGHT
Title
EXECUTIVE DIRECTOR
Phone
(440) 930-7100

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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Provider Name
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