Organization
ELMWOOD CENTERS INC
Active
Parent organization
ELMWOOD CENTERS
Other names
Elmvue Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELMWOOD CENTERS
Authorized official
MISS KATHY K HUNT ADMINISTRATOR (CEO)
(419) 639-2581
Entity
Organization
Contact information
Practice address
220 ACADEMY ST, GREEN SPRINGS, OH 44836-9655
(419) 639-2301
(419) 639-2519
Mailing address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9601
(419) 639-2581
(419) 639-2519
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7210271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922194497
NPI
—
05
—
36G570
—
OH
01
—
7210271
MRDD LICENSURE #
OH
Enumeration date
10/04/2006
Last updated
07/14/2008
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