person
Matthew J Tekaucic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wadsworth, Ohio
NPI 1356945893

Matthew J Tekaucic is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wadsworth, OH. Matthew J Tekaucic practices in Wadsworth, OH. The NPI Number for Matthew J Tekaucic is 1356945893 and holds a License No. 5213901 (Ohio).

The current practice location address for Matthew J Tekaucic is 286 Baird Ave, Wadsworth, OH and can be reached out via phone at 330-441-2311.

Location: 286 Baird Ave, Wadsworth, OH, 44281-1928
person
Provider Profile Details
NPI Number
1356945893
Provider Name
Matthew J Tekaucic
Credential
Provider Entity Type
Individual
Gender
Male
Address
286 Baird Ave, Wadsworth, OH, 44281-1928
Phone Number
330-441-2311
Fax Number
Provider Enumeration Date
11/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5213901 05 OH
institution
Provider Business Practice Location Address Details
Address
286 Baird Ave
City
State
Zip
44281-2220
Phone Number
330-441-2311
Fax Number
person
Provider Business Mailing Address Details
Address
286 Baird Ave
City
State
Zip
44281-2220
Phone Number
330-441-2311
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
License No.
5213901 (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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