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Michelle New
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Middletown, Ohio
NPI 1831602192

Michelle New is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lebanon, OH. Michelle New practices in Middletown, OH. The NPI Number for Michelle New is 1831602192 and holds a License No. 0245289 (Ohio).

The current practice location address for Michelle New is 6374 Elk Creek Rd, Middletown, OH and can be reached out via phone at 513-504-6979.

Location: 6374 Elk Creek Rd, Middletown, OH, 45036-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831602192
Provider Name
Michelle New
Credential
Provider Entity Type
Individual
Gender
Female
Address
6374 Elk Creek Rd, Middletown, OH, 45036-1325
Phone Number
513-504-6979
Fax Number
Provider Enumeration Date
11/08/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0245289 05 OH
8304801 01 OH DODD CONTRACT #
institution
Provider Business Practice Location Address Details
Address
6374 Elk Creek Rd
City
Middletown
State
Ohio
Zip
45042-8921
Phone Number
513-504-6979
Fax Number
person
Provider Business Mailing Address Details
Address
6374 Elk Creek Rd
City
Middletown
State
Ohio
Zip
45042-8921
Phone Number
513-504-6979
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.
0245289 (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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