Organization
ELMWOOD AT THE SHAWHAN, LCC
Active
Other names
Elmwood Assisted Living at the Shawhan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY K HUNT ADMINISTRATOR (CEO)
(419) 639-2581
Entity
Organization
Contact information
Practice address
54 S WASHINGTON ST, TIFFIN, OH 44883-2350
(419) 447-6885
(419) 447-6886
Mailing address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9601
(419) 639-2581
(419) 639-2519
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2242
ODH PROVIDER #
OH
01
—
5601
RCF LICENSE #
OH
Enumeration date
09/21/2006
Last updated
08/22/2020
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