NPI 1083600118

Kethley House @ Benjamin Rose Place

Organisation Skilled Nursing Facility Cleveland, OH

Practice location

Address: 11900 Fairhill Rd, Cleveland, OH 44120-1053
Phone: (216) 795-5450
Fax: (216) 795-1178

Authorised official

Name: Mary S. Marita
Title: Administrator
Phone: (216) 373-1807

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0675 (OH)

Other Skilled Nursing Facility providers in Ohio →

Registry record

NPI: 1083600118
Entity type: Organization
NPI issued: 23 Sep 2005
Record last updated: 22 Aug 2020

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.