Country Club Center Ii

LBN: Mount Vernon Elderly Services Llc
Country Club Center Ii is an health care organization with primary practice located at 1350 Yauger Rd , Mount Vernon OH 43050-9233. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mount Vernon Elderly Services Llc can be contacted via phone (740) 397-2350, or through Harris, Janet Marie via phone (216) 536-4700.

Contact Information

Primary practice address
1350 Yauger Rd Mount Vernon OH 43050-9233
Phone: (740) 397-2350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Janet Marie
Phone: (216) 536-4700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1770172736
LBN Legal business name Mount Vernon Elderly Services Llc
DBA Doing business as Country Club Center Ii
Authorized official Harris, Janet Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2021
Last updated Jul 11th, 2024 - about 5 months 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 1770172736 NPPES
Ohio Other 1690R LICENSURE

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