BLCC, INC
Skilled Nursing Facility
North Lima, Ohio
Provider NPI: 1124023585
Organization Information:Organization Name: BLCC, INC
Practice Location:
9184 MARKET ST NORTH LIMA, OH 44452 US
Tel: 330-965-9200 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:
9184 MARKET ST NORTH LIMA, OH 44452 US
Tel: 330-965-9200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 1675N |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NURSING HOME LICENSE # | 1675N | OH | 01 |
2442860 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin