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LISBON SKILLED NURSING AND RESIDENTIAL CARE, LLC

Assisted Living Facility

Lisbon, Ohio

Provider NPI: 1407843931

Organization Information:
Organization Name:  LISBON SKILLED NURSING AND RESIDENTIAL CARE, LLC


Practice Location:
100 VISTA DR  LISBON, OH 44432 US
Tel: 330-424-5852  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
OH2090R
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OH2090N

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM000000321362OH01
2434646OH05
MEDICAID ASSISTED LIVING WAIVER155884375OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS OH - Page 1



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