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Triad Residential Solutions Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Medina, Ohio
NPI 1417051541

Triad Residential Solutions Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Toledo, OH. Triad Residential Solutions Llc practices in Medina, OH. The NPI Number for Triad Residential Solutions Llc is 1417051541 and holds a License No. 2293414 (Ohio).

The current practice location address for Triad Residential Solutions Llc is 4986 Gateway Dr, Medina, OH and can be reached out via phone at 330-723-7980 and via fax at 330-723-7981. You can also correspond with Triad Residential Solutions Llc through the mailing address at PO BOX 352313, TOLEDO, OH - 43635-2313 (mailing address contact number: 419-536-3497).

Location: 4986 Gateway Dr, Medina, OH, 43635-2313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417051541
Provider Name
Triad Residential Solutions Llc
Credential
Provider Entity Type
Organization
Address
4986 Gateway Dr, Medina, OH, 43635-2313
Phone Number
330-723-7980
Fax Number
330-723-7981
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4800899 05 OH
institution
Provider Business Practice Location Address Details
Address
4986 Gateway Dr
City
Medina
State
Ohio
Zip
44256
Phone Number
330-723-7980
Fax Number
330-723-7981
person
Provider Business Mailing Address Details
Address
4986 Gateway Dr
City
Medina
State
Ohio
Zip
44256
Phone Number
330-723-7980
Fax Number
330-723-7981
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.
2293414 (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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