VAN GORDER MANOR NPI 1598923575

NPI Information

VAN GORDER MANOR is an assisted living facility in Willoughby, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VAN GORDER MANOR NPI is 1598923575. The provider is registered as an organization entity type.

The provider's business location address is:

37819 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094-900
Phone: (440) 946-5213
Fax: (440) 942-0244

The provider's authorized official is Michelle Lee Wagner .
The authorized official title is Owner/operator and has the following contact phone number (440) 946-5213.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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