Provider Demographics
NPI:1518388412
Name:GEORGLISA BINION
Entity Type:Organization
Organization Name:GEORGLISA BINION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA
Authorized Official - Prefix:
Authorized Official - First Name:GEORGLISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-203-7783
Mailing Address - Street 1:5327 NORTHFIELD RD
Mailing Address - Street 2:APT. 719
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146
Mailing Address - Country:US
Mailing Address - Phone:216-203-7783
Mailing Address - Fax:
Practice Address - Street 1:5327 NORTHFIELD RD
Practice Address - Street 2:APT. 719
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1106
Practice Address - Country:US
Practice Address - Phone:216-203-7783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401378070412311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home