Acacia Place

LBN: Eliza Jennings Services Corporation
Acacia Place is an health care organization with primary practice located at 10603 Detroit Ave , Cleveland OH 44102-1647. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Eliza Jennings Services Corporation can be contacted via phone (216) 226-6090, or through Gannon, Denise via phone (216) 226-5000.

Contact Information

Primary practice address
10603 Detroit Ave Cleveland OH 44102-1647
Phone: (216) 226-6090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gannon, Denise Registered Nurse (RN)
Phone: (216) 226-5000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1598968570
LBN Legal business name Eliza Jennings Services Corporation
DBA Doing business as Acacia Place
Authorized official Gannon, Denise Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598968570 NPPES
Ohio MEDICAID 2623610

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