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Prof. Patricia Dena Potter
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Carlisle, Ohio
NPI 1861264590

Patricia Dena Potter is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in New Carlisle, OH. Patricia Dena Potter practices in New Carlisle, OH. The NPI Number for Patricia Dena Potter is 1861264590 and holds a License No. (Ohio).

The current practice location address for Patricia Dena Potter is 3542 Charles Dr, New Carlisle, OH and can be reached out via phone at 937-260-7238.

Location: 3542 Charles Dr, New Carlisle, OH, 45344-9103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861264590
Provider Name
Patricia Dena Potter
Credential
Provider Entity Type
Individual
Gender
Female
Address
3542 Charles Dr, New Carlisle, OH, 45344-9103
Phone Number
937-260-7238
Fax Number
Provider Enumeration Date
10/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3542 Charles Dr
City
New Carlisle
State
Ohio
Zip
45344-9103
Phone Number
937-260-7238
Fax Number
person
Provider Business Mailing Address Details
Address
3542 Charles Dr
City
New Carlisle
State
Ohio
Zip
45344-9103
Phone Number
937-260-7238
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.
(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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