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Mrs. Maureen Margaret Stull
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lebanon, Ohio
NPI 1205050341

Maureen Margaret Stull is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lebanon, OH. Maureen Margaret Stull practices in Lebanon, OH. The NPI Number for Maureen Margaret Stull is 1205050341 and holds a License No. (Ohio).

The current practice location address for Maureen Margaret Stull is 1560 S Nixon Camp Rd, Lebanon, OH and can be reached out via phone at 513-933-9179.

Location: 1560 S Nixon Camp Rd, Lebanon, OH, 45036-9638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205050341
Provider Name
Maureen Margaret Stull
Credential
Provider Entity Type
Individual
Gender
Female
Address
1560 S Nixon Camp Rd, Lebanon, OH, 45036-9638
Phone Number
513-933-9179
Fax Number
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0891978 05 OH
institution
Provider Business Practice Location Address Details
Address
1560 S Nixon Camp Rd
City
Lebanon
State
Ohio
Zip
45036-9638
Phone Number
513-933-9179
Fax Number
person
Provider Business Mailing Address Details
Address
1560 S Nixon Camp Rd
City
Lebanon
State
Ohio
Zip
45036-9638
Phone Number
513-933-9179
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.
(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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