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Anthony Passalacqua
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Twinsburg, Ohio
NPI 1053917005

Anthony Passalacqua is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Twinsburg, OH. Anthony Passalacqua practices in Twinsburg, OH. The NPI Number for Anthony Passalacqua is 1053917005 and holds a License No. (Ohio).

The current practice location address for Anthony Passalacqua is 2789 Mathers Way, Twinsburg, OH and can be reached out via phone at 216-548-7997.

Location: 2789 Mathers Way, Twinsburg, OH, 44087-2625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053917005
Provider Name
Anthony Passalacqua
Credential
Provider Entity Type
Individual
Gender
Male
Address
2789 Mathers Way, Twinsburg, OH, 44087-2625
Phone Number
216-548-7997
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2789 Mathers Way
City
Twinsburg
State
Ohio
Zip
44087-2625
Phone Number
216-548-7997
Fax Number
person
Provider Business Mailing Address Details
Address
2789 Mathers Way
City
Twinsburg
State
Ohio
Zip
44087-2625
Phone Number
216-548-7997
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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