Provider Demographics
NPI:1467786897
Name:HAMLET VILLAGE
Entity Type:Organization
Organization Name:HAMLET VILLAGE
Other - Org Name:HAMLET MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:REES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-247-4200
Mailing Address - Street 1:200 HAMLET HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-2870
Mailing Address - Country:US
Mailing Address - Phone:440-247-4201
Mailing Address - Fax:440-247-1291
Practice Address - Street 1:150 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-2985
Practice Address - Country:US
Practice Address - Phone:440-247-4200
Practice Address - Fax:440-247-1291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMLET RETIREMENT HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory