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St. John's Villa
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carrollton, Ohio
NPI 1174691927

St. John's Villa is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Carrollton, OH. St. John's Villa practices in Carrollton, OH. The NPI Number for St. John's Villa is 1174691927 and holds a License No. 1010128 (Ohio).

The current practice location address for St. John's Villa is 701 Crest St Nw, Carrollton, OH and can be reached out via phone at 330-627-9789 and via fax at 330-627-4826.

Location: 701 Crest St Nw, Carrollton, OH, 44615-8425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174691927
Provider Name
St. John's Villa
Credential
Provider Entity Type
Organization
Address
701 Crest St Nw, Carrollton, OH, 44615-8425
Phone Number
330-627-9789
Fax Number
330-627-4826
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M1000179 01 OH MRDD PROVIDER
institution
Provider Business Practice Location Address Details
Address
701 Crest St Nw
City
Carrollton
State
Ohio
Zip
44615-8425
Phone Number
330-627-9789
Fax Number
330-627-4826
person
Provider Business Mailing Address Details
Address
701 Crest St Nw
City
Carrollton
State
Ohio
Zip
44615-8425
Phone Number
330-627-9789
Fax Number
330-627-4826
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
1010128 (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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