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Life Bridge Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Canton, Ohio
NPI 1710603113

Life Bridge Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Canton, OH. Life Bridge Llc practices in Canton, OH. The NPI Number for Life Bridge Llc is 1710603113 and holds a License No. (Ohio).

The current practice location address for Life Bridge Llc is 3722 Whipple Ave Nw, Canton, OH and can be reached out via phone at 330-324-7785. You can also correspond with Life Bridge Llc through the mailing address at 3722 WHIPPLE AVE NW, CANTON, OH - 44718-2934 (mailing address contact number: 330-324-7785).

Location: 3722 Whipple Ave Nw, Canton, OH, 44718-2934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710603113
Provider Name
Life Bridge Llc
Credential
Provider Entity Type
Organization
Address
3722 Whipple Ave Nw, Canton, OH, 44718-2934
Phone Number
330-324-7785
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3722 Whipple Ave Nw
City
Canton
State
Ohio
Zip
44718-2934
Phone Number
330-324-7785
Fax Number
person
Provider Business Mailing Address Details
Address
3722 Whipple Ave Nw
City
Canton
State
Ohio
Zip
44718-2934
Phone Number
330-324-7785
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.
()
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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