Elyria Group Homes, Inc.

NPI #1699779421 in Elyria, Ohio

Provider Information

NPI Number: 1699779421
Entity Type: Organization
Organization Name: Elyria Group Homes, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jun 9, 2005
Last Updated: Aug 6, 2009

Practice Location

Address: 1243 EAST AVE
City: Elyria
State: Ohio
ZIP Code: 44035-7674
Phone: (440) 323-6310

Authorized Official

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

Specialties & Taxonomy Codes

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

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