Elyria Large Group Homes, Inc.

NPI #1154516581 in Elyria, Ohio

Provider Information

NPI Number
1154516581
Entity Type
Organization
Organization Name
Elyria Large Group Homes, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Sep 10, 2007
Last Updated
Aug 6, 2009

Practice Location

Address
1251 EAST AVE
City
Elyria
State
Ohio
ZIP Code
44035-7674
Phone
(440) 322-0726

Authorized Official

Name
BRIAN COLLERAN
Title
PRESIDENT
Phone
(440) 614-0160

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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