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PROGRESSIVE GREEN MEADOWS, LLC

Skilled Nursing Facility

Louisville, Ohio

Provider NPI: 1336142645

Organization Information:
Organization Name:  PROGRESSIVE GREEN MEADOWS, LLC


Practice Location:
7770 COLUMBUS RD  LOUISVILLE, OH 44641 US
Tel: 216-661-6800  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OH2298N

Other Provider Identifiers:

IssuerNumberStateType
MEDICAL MUTUAL31-1504075.179OH01
ANTHEM000000299600OH01
2303046OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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