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36D2169910 CLIA NUMBER - TAPESTRY SPRINGBORO SENIOR HOUSING MANAGEMENT, LLC DBA TAPESTRY

Laboratory Demographics

CLIA Number: 36D2169910

Facility Name: TAPESTRY SPRINGBORO SENIOR HOUSING MANAGEMENT, LLC DBA TAPESTRY

Facility Address:
8683 CLEARCREEK FRANKLIN RD
SPRINGBORO, OH
ZIP 45066
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Facility Phone Number: 937 748-9344

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1417515305

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name Field Value
CLIA Number 36D2169910
LAB Type Assisted Living Facility
Facility Name TAPESTRY SPRINGBORO SENIOR HOUSING MANAGEMENT, LLC DBA TAPESTRY
Street 8683 CLEARCREEK FRANKLIN RD
City SPRINGBORO
State OH
ZIP 45066
Phone 937 748-9344
CertificateType 4
CertificateEffectiveDate 7/30/2023
CertificateExpirationDate 7/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024