Elyria Large Group Homes, INC.
Intermediate Care Facility, Intellectual Disabilities in Elyria, OH. Organization (NPI-2).
NPI number1154516581
StatusActive
Last updated in NPPESAug 6, 2009
Details
- NPI
- 1154516581
- Entity type
- Organization (NPI-2)
- Legal business name
- Elyria Large Group Homes, INC.
- Organization subpart
- No
- Enumeration date
- Sep 10, 2007
- Last updated
- Aug 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | OH | Yes |
Other names
- Palm Crest (Doing Business As)
Practice location
1251 East AveElyria, OH 44035-7674
Phone 440-322-0726 · Fax 440-322-2810
Mailing address
25000 Country Club BlvdSte 255
North Olmsted, OH 44070-5344
Phone 440-614-0160 · Fax 440-614-0168
Authorized official
Brian Colleran
President
4406140160
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All 8 Intellectual Disabilities Intermediate Care Facility providers in Elyria · All 1,457 providers in Elyria
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