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AURORA ROAD GROUP HOME

Intermediate Care Facility, Mental Illness

Mantua, Ohio

Provider NPI: 1902926405

Organization Information:
Organization Name:  AURORA ROAD GROUP HOME


Practice Location:
9772 DIAGONAL RD  MANTUA, OH 44255 US
Tel: 330-274-2272  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
OH256191

Other Provider Identifiers:

IssuerNumberStateType
2561919OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS OH - Page 1



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