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Hattie Larlham Center For Children With Disablilites
Intellectual Disabilities Intermediate Care Facility in Mantua, Ohio
NPI 1912179755

Hattie Larlham Center For Children With Disablilites is a Intellectual Disabilities Intermediate Care Facility based in Mantua, OH. Hattie Larlham Center For Children With Disablilites practices in Mantua, OH. The NPI Number for Hattie Larlham Center For Children With Disablilites is 1912179755 and holds a License No. 0729322 (Ohio).

The current practice location address for Hattie Larlham Center For Children With Disablilites is 9772 Diagonal Road, Mantua, OH and can be reached out via phone at 330-274-2272 and via fax at 330-732-2467.

Location: 9772 Diagonal Road, Mantua, OH, 44255-9128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912179755
Provider Name
Hattie Larlham Center For Children With Disablilites
Credential
Provider Entity Type
Organization
Address
9772 Diagonal Road, Mantua, OH, 44255-9128
Phone Number
330-274-2272
Fax Number
330-732-2467
Provider Enumeration Date
04/01/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0729322 05 OH
institution
Provider Business Practice Location Address Details
Address
9772 Diagonal Road
City
Mantua
State
Ohio
Zip
44255
Phone Number
330-274-2272
Fax Number
330-732-2467
person
Provider Business Mailing Address Details
Address
9772 Diagonal Road
City
Mantua
State
Ohio
Zip
44255
Phone Number
330-274-2272
Fax Number
330-732-2467
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0729322 (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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