Samuel House - Brunswick, OH

Samuel House

Intellectual Disabilities Intermediate Care Facility in Brunswick, Ohio

NPI 1548278302

Samuel House is a Intellectual Disabilities Intermediate Care Facility based in Brunswick, OH. Samuel House practices in Brunswick, OH. The NPI Number for Samuel House is 1548278302 and holds a License No. 5210239 (Ohio).

The current practice location address for Samuel House is 2088 Samuel Dr, Brunswick, OH and can be reached out via phone at 330-273-5494 and via fax at 330-273-6199.

Location: 2088 Samuel Dr, Brunswick, OH, 44212-2528

NPI Number

1548278302

Provider Name

Samuel House

Credential

Provider Entity Type

Organization

Address

2088 Samuel Dr, Brunswick, OH, 44212-2528

Phone Number

330-273-5494

Fax Number

330-273-6199

Provider Enumeration Date

08/04/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
0159439	05	OH
36-G505	05	OH

Address

2088 Samuel Dr

City

Brunswick

State

Ohio

Zip

44212-4149

Phone Number

330-273-5494

Fax Number

330-273-6199

Address

2088 Samuel Dr

City

Brunswick

State

Ohio

Zip

44212-4149

Phone Number

330-273-5494

Fax Number

330-273-6199

Type

Nursing & Custodial Care Facilities

Classification

Intermediate Care Facility, Mentally Retarded

Speciality

Taxonomy

315P00000X

License No.

5210239 (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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