institution
Josephine House
Intellectual Disabilities Intermediate Care Facility in Brunswick, Ohio
NPI 1437166824

Josephine House is a Intellectual Disabilities Intermediate Care Facility based in Brunswick, OH. Josephine House practices in Brunswick, OH. The NPI Number for Josephine House is 1437166824 and holds a License No. 5210168 (Ohio).

The current practice location address for Josephine House is 2039 Josephine Blvd, Brunswick, OH and can be reached out via phone at 330-273-5494 and via fax at 330-273-6199.

Location: 2039 Josephine Blvd, Brunswick, OH, 44212-2528
institution
Provider Profile Details
NPI Number
1437166824
Provider Name
Josephine House
Credential
Provider Entity Type
Organization
Address
2039 Josephine Blvd, Brunswick, OH, 44212-2528
Phone Number
330-273-5494
Fax Number
330-273-6199
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0899185 05 OH
36-G455 05 OH
institution
Provider Business Practice Location Address Details
Address
2039 Josephine Blvd
City
State
Zip
44212-4031
Phone Number
330-273-5494
Fax Number
330-273-6199
person
Provider Business Mailing Address Details
Address
2039 Josephine Blvd
City
State
Zip
44212-4031
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.
5210168 (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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