SAMUEL HOUSE is an intermediate care facility mentally retarded in Brunswick, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SAMUEL HOUSE NPI is 1548278302. The provider is registered as an organization entity type.
The provider's business location address is:
2088 SAMUEL DR
BRUNSWICK, OH
ZIP 44212-149
Phone: (330) 273-5494
Fax: (330) 273-6199
The provider's authorized official is Denise T Pozderac .
The authorized official title is President/administrator and has the following contact phone number (330) 273-5494.
The CLIA number assigned to this NPI record is 36D0896956 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/12/2007.