Provider Demographics
NPI:1558783902
Name:THE INN AT WHITEWOOD VILLAGE
Entity Type:Organization
Organization Name:THE INN AT WHITEWOOD VILLAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-499-1399
Mailing Address - Street 1:3146 WHITEWOOD ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-8382
Mailing Address - Country:US
Mailing Address - Phone:330-499-1399
Mailing Address - Fax:330-499-1401
Practice Address - Street 1:3146 WHITEWOOD ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-8382
Practice Address - Country:US
Practice Address - Phone:330-499-1399
Practice Address - Fax:330-499-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-19
Last Update Date:2014-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility