Scioto Group Home, Inc.
NPI #1538436340 in Lucasville, Ohio
Provider Information
- NPI Number
- 1538436340
- Entity Type
- Organization
- Organization Name
- Scioto Group Home, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 22, 2011
- Last Updated
- Dec 23, 2011
Practice Location
- Address
- 374 GOOD MANOR RD
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-9606
- Phone
- (740) 289-2861
Authorized Official
- Name
- BRIAN COLLERAN
- Title
- PRESIDENT
- Phone
- (440) 614-0160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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