ELMWOOD OF FREMONT, LTD.
Assisted Living Facility
Fremont, Ohio
Provider NPI: 1093813016
Organization Information:Organization Name: ELMWOOD OF FREMONT, LTD.
Practice Location:
1545 FANGBONER RD FREMONT, OH 43420 US
Tel: 419-332-6533 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:
1545 FANGBONER RD FREMONT, OH 43420 US
Tel: 419-332-6533 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RCF LICENSE # | 5391 | OH | 01 |
0110265 | OH | 05 | |
ODH PROVIDER # | 2173R | OH | 01 |
ODH LICENSE NUMBER FOR SNF | 2173N | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin