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Guadalupe Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Avon, Ohio
NPI 1013168111

Guadalupe Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Avon, OH. Guadalupe Home practices in Avon, OH. The NPI Number for Guadalupe Home is 1013168111 and holds a License No. 4710076 (Ohio).

The current practice location address for Guadalupe Home is 38023 Colorado Ave, Avon, OH and can be reached out via phone at 440-934-4825 and via fax at 440-934-4799.

Location: 38023 Colorado Ave, Avon, OH, 44011-1028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013168111
Provider Name
Guadalupe Home
Credential
Provider Entity Type
Organization
Address
38023 Colorado Ave, Avon, OH, 44011-1028
Phone Number
440-934-4825
Fax Number
440-934-4799
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0870026 05 OH
institution
Provider Business Practice Location Address Details
Address
38023 Colorado Ave
City
Avon
State
Ohio
Zip
44011-1026
Phone Number
440-934-4825
Fax Number
440-934-4799
person
Provider Business Mailing Address Details
Address
38023 Colorado Ave
City
Avon
State
Ohio
Zip
44011-1026
Phone Number
440-934-4825
Fax Number
440-934-4799
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4710076 (Ohio)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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