Individual provider · Type 1 NPI
Mika Derifield
Nursing Facility/Intermediate Care Facility · Wadsworth, OH
Practice location
205 S Pardee St
Wadsworth, OH 44281-1465
Mailing address
12379 Valley View Dr
Chesterland, OH 44026-2456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | None listed |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
About NPI 1700323631
Mika Derifield's National Provider Identifier is 1700323631, issued on Jan 30, 2017. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Wadsworth, OH. The record was last updated on Apr 9, 2020.