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Our Lady Of The Wayside
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Avon, Ohio
NPI 1306069752

Our Lady Of The Wayside is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Avon, OH. Our Lady Of The Wayside practices in Avon, OH. The NPI Number for Our Lady Of The Wayside is 1306069752 and holds a License No. 4700514 (Ohio).

The current practice location address for Our Lady Of The Wayside is 38135 Colorado Ave, Avon, OH and can be reached out via phone at 440-934-6007 and via fax at 440-934-6327.

Location: 38135 Colorado Ave, Avon, OH, 44011-1028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306069752
Provider Name
Our Lady Of The Wayside
Credential
Provider Entity Type
Organization
Address
38135 Colorado Ave, Avon, OH, 44011-1028
Phone Number
440-934-6007
Fax Number
440-934-6327
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4700514 01 OH OUR LADY OF THE WAYSIDE
institution
Provider Business Practice Location Address Details
Address
38135 Colorado Ave
City
Avon
State
Ohio
Zip
44011-1028
Phone Number
440-934-6007
Fax Number
440-934-6327
person
Provider Business Mailing Address Details
Address
38135 Colorado Ave
City
Avon
State
Ohio
Zip
44011-1028
Phone Number
440-934-6007
Fax Number
440-934-6327
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4700514 (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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