Provider Demographics
NPI:1629772827
Name:SKRAM INSTITUTE
Entity Type:Organization
Organization Name:SKRAM INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:216-544-2958
Mailing Address - Street 1:20005 SHAKERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6621
Mailing Address - Country:US
Mailing Address - Phone:216-544-2958
Mailing Address - Fax:
Practice Address - Street 1:20005 SHAKERWOOD RD
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6621
Practice Address - Country:US
Practice Address - Phone:216-544-2958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty