PROMEDICA CONTINUING CARE SERVICES CORP
Alzheimer Center
Sylvania, Ohio
Provider NPI: 1144283979
Organization Information:Organization Name: PROMEDICA CONTINUING CARE SERVICES CORP
Practice Location:
5320 HARROUN RD SYLVANIA, OH 43560 US
Tel: 419-824-1250 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5320 HARROUN RD SYLVANIA, OH 43560 US
Tel: 419-824-1250 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2600395 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin