Organization
ELMWOOD OF FREMONT, LTD.
Active
Other names
Elmwood Skilled Nursing of Fremont, Elmwood Assisted Living of Fremont
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KAY HUNT (ADMINISTRATOR)
(419) 332-3378
Entity
Organization
Contact information
Practice address
1545 FANGBONER RD, FREMONT, OH 43420-1128
(419) 332-6533
(419) 332-6535
Mailing address
441 N BROADWAY ST, GREEN SPRINGS, OH 44836-9689
(419) 332-3378
(419) 639-2519
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110265
—
OH
01
—
2173N
ODH LICENSE NUMBER FOR SNF
OH
01
—
2173R
ODH PROVIDER #
OH
01
—
5391
RCF LICENSE #
OH
Enumeration date
09/21/2006
Last updated
08/10/2020
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