Scioto Group Home, Inc.
Scioto Group Home, Inc. is a health care provider in North Olmsted, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 374 Good Manor Rd, Lucasville, OH 45648-9606, US |
|Practice Location Phone||740-289-2861|
|Practice Location Fax||740-289-4355|
|Legal Business Name||SCIOTO GROUP HOME, INC.|
|Other Organization Name||SCIOTO TRAILS CHALET|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Nov 22, 2011|
|Last Update Date ? ||Dec 23, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Scioto Group Home, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Intermediate Care Facility, Mentally Retarded||Nursing & Custodial Care Facilities|| |
Legacy Provider IDs of Scioto Group Home, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|6610153||Ohio||Other||DODD FACILITY NUMBER|
Authorized Official of Scioto Group Home, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Scioto Group Home, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Brian Colleran|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||440-614-0160|