Provider Demographics
NPI:1295552412
Name:THE FRITIZE LYNN COLLECTION
Entity type:Organization
Organization Name:THE FRITIZE LYNN COLLECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALGENON
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:216-320-7410
Mailing Address - Street 1:20341 BALL AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-2723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20341 BALL AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2723
Practice Address - Country:US
Practice Address - Phone:216-320-7410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility