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Hattie Larlham Center For Children With Disabilities
Intellectual Disabilities Intermediate Care Facility in Mantua, Ohio
NPI 1649649799

Hattie Larlham Center For Children With Disabilities is a Intellectual Disabilities Intermediate Care Facility based in Mantua, OH. Hattie Larlham Center For Children With Disabilities practices in Mantua, OH. The NPI Number for Hattie Larlham Center For Children With Disabilities is 1649649799 and holds a License No. 0244828 (Ohio).

The current practice location address for Hattie Larlham Center For Children With Disabilities is 9772 Diagonal Rd, Mantua, OH and can be reached out via phone at 330-840-6851.

Location: 9772 Diagonal Rd, Mantua, OH, 44255-9160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649649799
Provider Name
Hattie Larlham Center For Children With Disabilities
Credential
Provider Entity Type
Organization
Address
9772 Diagonal Rd, Mantua, OH, 44255-9160
Phone Number
330-840-6851
Fax Number
Provider Enumeration Date
09/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0244828 05 OH
institution
Provider Business Practice Location Address Details
Address
9772 Diagonal Rd
City
Mantua
State
Ohio
Zip
44255-9128
Phone Number
330-840-6851
Fax Number
person
Provider Business Mailing Address Details
Address
9772 Diagonal Rd
City
Mantua
State
Ohio
Zip
44255-9128
Phone Number
330-840-6851
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0244828 (Ohio)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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