Organization
ELYRIA ICF II,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
1271 EAST AVE, ELYRIA, OH 44035-7674
(440) 322-0726
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
OH
Other
Enumeration date
11/27/2013
Last updated
07/11/2016
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