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LUTHER HOME OF MERCY INC.

Intermediate Care Facility, Mentally Retarded

Williston, Ohio

Provider NPI: 1538135173

Organization Information:
Organization Name:  LUTHER HOME OF MERCY INC.


Practice Location:
5810 N MAIN  WILLISTON, OH 43468 US
Tel: 419-725-5225  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
OH1575

Other Provider Identifiers:

IssuerNumberStateType
M6200364OH05
0035287OH05
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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