Provider Demographics
NPI:1861770216
Name:MARGARET KROB
Entity type:Organization
Organization Name:MARGARET KROB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN RT RCP
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:KROB
Authorized Official - Suffix:
Authorized Official - Credentials:RN RRT RCP
Authorized Official - Phone:216-402-6344
Mailing Address - Street 1:37523 JORDAN DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5913
Mailing Address - Country:US
Mailing Address - Phone:216-402-6344
Mailing Address - Fax:
Practice Address - Street 1:37523 JORDAN DR
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-5913
Practice Address - Country:US
Practice Address - Phone:216-402-6344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7800251E00000X
OH314507313M00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility