| Eliza Jennings Senior Care | |
|
26376 John Rd Olmsted Falls OH 44138-1277 | |
| (440) 235-7100 | |
| Not Available |
| Full Name | Eliza Jennings Senior Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 26376 John Rd, Olmsted Falls, Ohio |
| Authorized Official Name and Position | Matthew Wayne (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4402357100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliza Jennings Senior Care Po Box 246 North Olmsted OH 44070-0246 Ph: (440) 777-6017 | Eliza Jennings Senior Care 26376 John Rd Olmsted Falls OH 44138-1277 Ph: (440) 235-7100 |
| NPI Number | 1851370647 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851370647 | NPI | - | NPPES |
| 0840068 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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