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Laura Laraine Rosario
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nelsonville, Ohio
NPI 1588261408

Laura Laraine Rosario is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Athens, OH. Laura Laraine Rosario practices in Nelsonville, OH. The NPI Number for Laura Laraine Rosario is 1588261408 and holds a License No. 0221456 (Ohio).

The current practice location address for Laura Laraine Rosario is 1095 Poplar St, Nelsonville, OH and can be reached out via phone at 740-221-0348.

Location: 1095 Poplar St, Nelsonville, OH, 45701-2070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588261408
Provider Name
Laura Laraine Rosario
Credential
Provider Entity Type
Individual
Gender
Female
Address
1095 Poplar St, Nelsonville, OH, 45701-2070
Phone Number
740-221-0348
Fax Number
Provider Enumeration Date
10/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0221456 05 OH
institution
Provider Business Practice Location Address Details
Address
1095 Poplar St
City
Nelsonville
State
Ohio
Zip
45764-1446
Phone Number
740-221-0348
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Poplar St
City
Nelsonville
State
Ohio
Zip
45764-1446
Phone Number
740-221-0348
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
320900000X
License No.
0221456 (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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