NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174091755 |   |   |   | PHOENIX FAIRLAWN OPERATING CO., LLC | 23925 GREENLAWN AVE | BEACHWOOD | OH | 441221434 |
1952879538 |   |   |   | PHOENIX MAPLE HEIGHTS OPERATING CO., LLC | 23925 GREENLAWN AVE | BEACHWOOD | OH | 441221434 |