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Mrs. Diane E Spiess
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Liberty Center, Ohio
NPI 1154917128

Diane E Spiess is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Liberty Center, OH. Diane E Spiess practices in Liberty Center, OH. The NPI Number for Diane E Spiess is 1154917128 and holds a License No. 3500689 (Ohio).

The current practice location address for Diane E Spiess is V911 State Route 109, Liberty Center, OH and can be reached out via phone at 419-270-6632.

Location: V911 State Route 109, Liberty Center, OH, 43532-8709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154917128
Provider Name
Diane E Spiess
Credential
Provider Entity Type
Individual
Gender
Female
Address
V911 State Route 109, Liberty Center, OH, 43532-8709
Phone Number
419-270-6632
Fax Number
Provider Enumeration Date
12/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
V911 State Route 109
City
Liberty Center
State
Ohio
Zip
43532-8709
Phone Number
419-270-6632
Fax Number
person
Provider Business Mailing Address Details
Address
V911 State Route 109
City
Liberty Center
State
Ohio
Zip
43532-8709
Phone Number
419-270-6632
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.
3500689 (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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