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STOW-GLEN INC

Assisted Living Facility

Stow, Ohio

Provider NPI: 1760473961

Organization Information:
Organization Name:  STOW-GLEN INC


Practice Location:
4285 KENT RD  STOW, OH 44224 US
Tel: 330-686-7100  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
OH1797R
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
OH1797N

Other Provider Identifiers:

IssuerNumberStateType
0580698OH05
NURSING HOME NUMBER1797NOH01
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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