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:
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:
4285 KENT RD STOW, OH 44224 US
Tel: 330-686-7100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OH | 1797R |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | OH | 1797N |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0580698 | OH | 05 | |
NURSING HOME NUMBER | 1797N | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin