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ELYRIA GROUP HOMES, INC.

Intermediate Care Facility, Mentally Retarded

Elyria, Ohio

Provider NPI: 1699779421

Organization Information:
Organization Name:  ELYRIA GROUP HOMES, INC.


Practice Location:
1243 EAST AVE  ELYRIA, OH 44035 US
Tel: 440-323-6310  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
2940465OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS OH - Page 1



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