Van Gorder Manor
NPI #1598923575 in Willoughby, Ohio
Provider Information
- NPI Number
- 1598923575
- Entity Type
- Organization
- Organization Name
- Van Gorder Manor
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 27, 2008
- Last Updated
- May 27, 2008
Practice Location
- Address
- 37819 EUCLID AVE
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-5900
- Phone
- (440) 946-5213
Authorized Official
- Name
- MICHELLE LEE WAGNER
- Title
- OWNER/OPERATOR
- Phone
- (440) 946-5213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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