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NPI Code Detail

MEDICARE: AURORA ROAD GROUP HOME

MEDICARE: AURORA ROAD GROUP HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310500000XMental Illness Intermediate Care Facility256191OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902926405
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA ROAD GROUP HOME
Provider Business Mailing Address
First Line : 37125 AURORA RD
Second Line :
City : SOLON
State : OH
Zip : 44139-4659
Country : US
Telephone Number : 330-440-2483
Fax Number :
Provider Business Practice Location Address
First Line : 9772 DIAGONAL RD
Second Line :
City : MANTUA
State : OH
Zip : 44255-9128
Country : US
Telephone Number : 330-274-2272
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. GREG SNYDER
Credential :
Telephone Number : 330-840-6851
Provider Enumeration Date : 03/29/2007
Last Update Date : 01/31/2020

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Directions to “AURORA ROAD GROUP HOME ” Practice Location

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