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Alternative Residencestwo Inc
Intellectual Disabilities Intermediate Care Facility in Massillon, Ohio
NPI 1750590816

Alternative Residencestwo Inc is a Intellectual Disabilities Intermediate Care Facility based in Louisville, OH. Alternative Residencestwo Inc practices in Massillon, OH. The NPI Number for Alternative Residencestwo Inc is 1750590816 and holds a License No. (Ohio).

The current practice location address for Alternative Residencestwo Inc is 115 19Th St Se, Massillon, OH and can be reached out via phone at 765-668-0978.

Location: 115 19Th St Se, Massillon, OH, 40223-3808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750590816
Provider Name
Alternative Residencestwo Inc
Credential
Provider Entity Type
Organization
Address
115 19Th St Se, Massillon, OH, 40223-3808
Phone Number
765-668-0978
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2392736 05 OH
institution
Provider Business Practice Location Address Details
Address
115 19Th St Se
City
Massillon
State
Ohio
Zip
44646-7149
Phone Number
765-668-0978
Fax Number
person
Provider Business Mailing Address Details
Address
115 19Th St Se
City
Massillon
State
Ohio
Zip
44646-7149
Phone Number
765-668-0978
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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