Lantern of Saybrook

NPI #1376095422 in Ashtabula, Ohio

Provider Information

NPI Number: 1376095422
Entity Type: Organization
Organization Name: Lantern of Saybrook
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Oct 25, 2016
Last Updated: Oct 25, 2016

Practice Location

Address: 3720 NORTH RIDGE ROAD WEST
City: Ashtabula
State: Ohio
ZIP Code: 44004
Phone: (440) 261-3100

Authorized Official

Name: MR. NESIAN MAKESH, OTR/L, MBA
Title: CEO
Phone: (440) 261-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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