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Mary V Byrd
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marietta, Ohio
NPI 1073111654

Mary V Byrd is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Reno, OH. Mary V Byrd practices in Marietta, OH. The NPI Number for Mary V Byrd is 1073111654 and holds a License No. 8401723 (Ohio).

The current practice location address for Mary V Byrd is 37 Sterling Rd, Marietta, OH and can be reached out via phone at 740-516-4496.

Location: 37 Sterling Rd, Marietta, OH, 45773-0283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073111654
Provider Name
Mary V Byrd
Credential
Provider Entity Type
Individual
Gender
Female
Address
37 Sterling Rd, Marietta, OH, 45773-0283
Phone Number
740-516-4496
Fax Number
Provider Enumeration Date
10/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0179528 05 OH
0000240269 01 OH SUPPLIER ID
institution
Provider Business Practice Location Address Details
Address
37 Sterling Rd
City
Marietta
State
Ohio
Zip
45750
Phone Number
740-516-4496
Fax Number
person
Provider Business Mailing Address Details
Address
37 Sterling Rd
City
Marietta
State
Ohio
Zip
45750
Phone Number
740-516-4496
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.
8401723 (Ohio)
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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