Elyria Icf, LLC

NPI #1154751832 in Elyria, Ohio

Provider Information

NPI Number: 1154751832
Entity Type: Organization
Organization Name: Elyria Icf, LLC
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Nov 18, 2013
Last Updated: Jul 11, 2016

Practice Location

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

Authorized Official

Name: MARY A PANK
Title: PARALEGAL
Phone: (502) 420-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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