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Hattie Larlham Center For Children With Disablilites
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mantua, Ohio
NPI 1417010067

Hattie Larlham Center For Children With Disablilites is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mantua, OH. Hattie Larlham Center For Children With Disablilites practices in Mantua, OH. The NPI Number for Hattie Larlham Center For Children With Disablilites is 1417010067 and holds a License No. 6701000 (Ohio).

The current practice location address for Hattie Larlham Center For Children With Disablilites is 9772 Diagonal Road, Mantua, OH and can be reached out via phone at 330-274-2272 and via fax at 330-732-2467.

Location: 9772 Diagonal Road, Mantua, OH, 44255-9128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417010067
Provider Name
Hattie Larlham Center For Children With Disablilites
Credential
Provider Entity Type
Organization
Address
9772 Diagonal Road, Mantua, OH, 44255-9128
Phone Number
330-274-2272
Fax Number
330-732-2467
Provider Enumeration Date
12/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6701000 05 OH
2266435 05 OH
institution
Provider Business Practice Location Address Details
Address
9772 Diagonal Road
City
Mantua
State
Ohio
Zip
44255
Phone Number
330-274-2272
Fax Number
330-732-2467
person
Provider Business Mailing Address Details
Address
9772 Diagonal Road
City
Mantua
State
Ohio
Zip
44255
Phone Number
330-274-2272
Fax Number
330-732-2467
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Ohio)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
6701000 (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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