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Mika Derifield
Nursing Facility/Intermediate Care Facility in Wadsworth, Ohio
NPI 1700323631

Mika Derifield is a Nursing Facility/Intermediate Care Facility based in Chesterland, OH. Mika Derifield practices in Wadsworth, OH. The NPI Number for Mika Derifield is 1700323631 and holds a License No. (Ohio).

The current practice location address for Mika Derifield is 205 S Pardee St, Wadsworth, OH and can be reached out via phone at 330-696-8539.

Location: 205 S Pardee St, Wadsworth, OH, 44026-2456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700323631
Provider Name
Mika Derifield
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 S Pardee St, Wadsworth, OH, 44026-2456
Phone Number
330-696-8539
Fax Number
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 S Pardee St
City
Wadsworth
State
Ohio
Zip
44281-1465
Phone Number
330-696-8539
Fax Number
person
Provider Business Mailing Address Details
Address
205 S Pardee St
City
Wadsworth
State
Ohio
Zip
44281-1465
Phone Number
330-696-8539
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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