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Organization

BCC MEDINA OPERATIONS, LLC

Active
Other names
Elmcroft of Medina
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROBIN L. BARBER ESQ. (VICE PRESIDENT AND SECRETARY)
(502) 753-6004
Entity
Organization

Contact information

Practice address
1046 N JEFFERSON ST, MEDINA, OH 44256-1102
(330) 721-2000
(330) 723-0742
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6004
(502) 753-6104

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2227R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2227R
RESIDENTIAL CARE FACILITY LICENSE
OH
Enumeration date
08/02/2010
Last updated
08/02/2010
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