Organization
LORAIN COUNTY BOARD OF DD
Active
Other names
MEISTER ROAD ICF-MR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER L FISHER DR. P.H. (SUPERINTENDENT)
(440) 329-3734
Entity
Organization
Contact information
Practice address
4609 MEISTER RD, LORAIN, OH 44053-1530
(440) 282-3074
Mailing address
1091 INFIRMARY RD, ELYRIA, OH 44035-4804
(440) 329-3734
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
36-G112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0508043
—
OH
Enumeration date
04/02/2007
Last updated
05/17/2016
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