institution
Hollowood House
Intellectual Disabilities Intermediate Care Facility in Brunswick, Ohio
NPI 1225045255

Hollowood House is a Intellectual Disabilities Intermediate Care Facility based in Brunswick, OH. Hollowood House practices in Brunswick, OH. The NPI Number for Hollowood House is 1225045255 and holds a License No. 5210284 (Ohio).

The current practice location address for Hollowood House is 3717 Alesia Kae Dr, Brunswick, OH and can be reached out via phone at 330-273-5494 and via fax at 330-273-6199.

Location: 3717 Alesia Kae Dr, Brunswick, OH, 44212-2528
institution
Provider Profile Details
NPI Number
1225045255
Provider Name
Hollowood House
Credential
Provider Entity Type
Organization
Address
3717 Alesia Kae Dr, Brunswick, OH, 44212-2528
Phone Number
330-273-5494
Fax Number
330-273-6199
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
36-G533 05 OH
2015161 05 OH
institution
Provider Business Practice Location Address Details
Address
3717 Alesia Kae Dr
City
State
Zip
44212-5012
Phone Number
330-273-5494
Fax Number
330-273-6199
person
Provider Business Mailing Address Details
Address
3717 Alesia Kae Dr
City
State
Zip
44212-5012
Phone Number
330-273-5494
Fax Number
330-273-6199
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
5210284 (Ohio)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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