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Tanya Hairston
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Cleveland, Ohio
NPI 1356087449

Tanya Hairston is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Parma, OH. Tanya Hairston practices in East Cleveland, OH. The NPI Number for Tanya Hairston is 1356087449 and holds a License No. (Ohio).

The current practice location address for Tanya Hairston is 13417 4Th Ave, East Cleveland, OH and can be reached out via phone at 440-210-7833 and via fax at 440-210-7833.

Location: 13417 4Th Ave, East Cleveland, OH, 44129-0025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356087449
Provider Name
Tanya Hairston
Credential
Provider Entity Type
Individual
Gender
Female
Address
13417 4Th Ave, East Cleveland, OH, 44129-0025
Phone Number
440-210-7833
Fax Number
440-210-7833
Provider Enumeration Date
05/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13417 4Th Ave
City
East Cleveland
State
Ohio
Zip
44112-3113
Phone Number
440-210-7833
Fax Number
440-210-7833
person
Provider Business Mailing Address Details
Address
13417 4Th Ave
City
East Cleveland
State
Ohio
Zip
44112-3113
Phone Number
440-210-7833
Fax Number
440-210-7833
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.
()
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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