Provider Demographics
NPI:1912512245
Name:NORWILL SKILLED CARE
Entity Type:Organization
Organization Name:NORWILL SKILLED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER/CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIETUNJA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-441-9669
Mailing Address - Street 1:3100 E 45TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1094
Mailing Address - Country:US
Mailing Address - Phone:216-212-8597
Mailing Address - Fax:
Practice Address - Street 1:3100 E 45TH ST STE 102
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1094
Practice Address - Country:US
Practice Address - Phone:216-441-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORWILL HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health