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DEACONESS LONG TERM CARE OF OHIO, INC.

Assisted Living Facility

Mason, Ohio

Provider NPI: 1639162316

Organization Information:
Organization Name:  DEACONESS LONG TERM CARE OF OHIO, INC.


Practice Location:
5640 COX SMITH RD  MASON, OH 45040 US
Tel: 513-398-2881  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
OH5285
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OH5027

Other Provider Identifiers:

IssuerNumberStateType
RES. CARE FACILITY LIC #5285OH01
SNF LICENSE #5027OH01
0129140OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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