Organization
ELMWOOD CENTERS INC
Active
Other names
Elmpark Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY K HUNT ADMINISTRATOR (CEO)
(419) 639-2581
Entity
Organization
Contact information
Practice address
504 W MAIN ST, BELLEVUE, OH 44811-1901
(419) 639-2581
(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
7210075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36G272
—
OH
01
—
7210075
MRDD LICENSURE #
OH
Enumeration date
09/20/2006
Last updated
07/14/2008
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