GRAFTON HOUSE
Intermediate Care Facility, Mentally Retarded
Brunswick, Ohio
Provider NPI: 1407863434
Organization Information:Organization Name: GRAFTON HOUSE
Practice Location:
3013 GRAFTON RD BRUNSWICK, OH 44212 US
Tel: 330-273-5494 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:
3013 GRAFTON RD BRUNSWICK, OH 44212 US
Tel: 330-273-5494 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | OH | 5210266 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
36-G519 | OH | 05 | |
0280422 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin