NPI 1063652139

St. Augustine Manor Corp.

Organisation Assisted Living Facility Cleveland, OH

Practice location

Address: 7821 Lake Avenue St. Augustine Towers, Cleveland, OH 44102
Phone: (216) 634-7444
Fax: (216) 634-2717
Mailing address: 7801 Detroit Avenue St. Augustine Manor Dba St. Augustine Towers, Cleveland, OH 44102

Authorised official

Name: Anita B. Gerrasch
Title: Senior Administrator
Phone: (216) 634-7437

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1063652139
Entity type: Organization
NPI issued: 2 Mar 2009
Record last updated: 2 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.