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ROGER'S RETIREMENT CENTER, INC.

Assisted Living Mental Illness

Cleveland, Ohio

Provider NPI: 1043244395

Organization Information:
Organization Name:  ROGER'S RETIREMENT CENTER, INC.
Organization is not Subpart
Authorized Official:  VALDIA  BURNS  CEO  216-8511853

Practice Location:
966 E 146TH ST  CLEVELAND, OH 44110 US
Tel: 216-851-1853  Fax: 216-851-1865

Business Mailing Address:
966 E. 146TH ST  CLEVELAND, OH 44110 US
Tel: 216-851-1853  Fax: 216-851-1865

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
OH2593886

Other Provider Identifiers:

IssuerNumberStateType
MRDD2593886OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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