36D2082914 CLIA NUMBER - ELMWOOD ASSISTED LIVING, INC

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Laboratory Demographics

CLIA Number: 36D2082914

Facility Name: ELMWOOD ASSISTED LIVING, INC

Facility Address:
871 ELMWOOD DRIVE
HUBBARD, OH
ZIP 44425
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Facility Phone Number: 330 568-8127

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1629472204

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	36D2082914
LAB Type	Assisted Living Facility
Facility Name	ELMWOOD ASSISTED LIVING, INC
Street	871 ELMWOOD DRIVE
City	HUBBARD
State	OH
ZIP	44425
Phone	330 568-8127
CertificateType	4
CertificateEffectiveDate	8/25/2022
CertificateExpirationDate	8/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024