Organization Name: | THE FAIRWAYS |
NPI Number: | 1720317605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY KNIGHT (EXECUTIVE DIRECTOR) |
Mailing Address: | 30630 Ridge Rd Wickliffe |
State: | OH US |
Postal Code: | 440921166 |
Phone Number: | 4409432050 |
Fax Number: | 4409430403 |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 12/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | 2201R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |