Organization
AURORA ROAD GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Mailing address
37125 AURORA RD, SOLON, OH 44139-4659
(330) 440-2483
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
256191
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561919
—
OH
Enumeration date
03/29/2007
Last updated
01/31/2020
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