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Wayside Farm Inc.
Nursing Facility/Intermediate Care Facility in Peninsula, Ohio
NPI 1306870738

Wayside Farm Inc. is a Nursing Facility/Intermediate Care Facility based in Peninsula, OH. Wayside Farm Inc. practices in Peninsula, OH. The NPI Number for Wayside Farm Inc. is 1306870738 and holds a License No. 1279 (Ohio).

The current practice location address for Wayside Farm Inc. is 4557 Quick Rd, Peninsula, OH and can be reached out via phone at 330-923-7828 and via fax at 330-923-1201.

Location: 4557 Quick Rd, Peninsula, OH, 44264-9794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306870738
Provider Name
Wayside Farm Inc.
Credential
Provider Entity Type
Organization
Address
4557 Quick Rd, Peninsula, OH, 44264-9794
Phone Number
330-923-7828
Fax Number
330-923-1201
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0040879 05 OH
institution
Provider Business Practice Location Address Details
Address
4557 Quick Rd
City
Peninsula
State
Ohio
Zip
44264-9708
Phone Number
330-923-7828
Fax Number
330-923-1201
person
Provider Business Mailing Address Details
Address
4557 Quick Rd
City
Peninsula
State
Ohio
Zip
44264-9708
Phone Number
330-923-7828
Fax Number
330-923-1201
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
1279 (Ohio)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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