Organization · Type 2 NPI

Samuel House

Intellectual Disabilities Intermediate Care Facility · Brunswick, OH

NPI number 1548278302 Active

Practice location

2088 Samuel Dr
Brunswick, OH 44212-4149

Call (330) 273-5494 Map

Fax (330) 273-6199

Mailing address

791 Pearl Rd
Brunswick, OH 44212-2528

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X5210239 (OH)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1548278302

Samuel House's National Provider Identifier is 1548278302, issued on Aug 4, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Brunswick, OH. The record was last updated on Jul 12, 2007.