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Independence Of Portage County, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ravenna, Ohio
NPI 1932418779

Independence Of Portage County, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ravenna, OH. Independence Of Portage County, Inc. practices in Ravenna, OH. The NPI Number for Independence Of Portage County, Inc. is 1932418779 and holds a License No. (Ohio).

The current practice location address for Independence Of Portage County, Inc. is 837 Cleveland Rd, Ravenna, OH and can be reached out via phone at 330-296-2851 and via fax at 330-296-8631.

Location: 837 Cleveland Rd, Ravenna, OH, 44266-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932418779
Provider Name
Independence Of Portage County, Inc.
Credential
Provider Entity Type
Organization
Address
837 Cleveland Rd, Ravenna, OH, 44266-3129
Phone Number
330-296-2851
Fax Number
330-296-8631
Provider Enumeration Date
09/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 OH PENDING
institution
Provider Business Practice Location Address Details
Address
837 Cleveland Rd
City
Ravenna
State
Ohio
Zip
44266-2023
Phone Number
330-296-2851
Fax Number
330-296-8631
person
Provider Business Mailing Address Details
Address
837 Cleveland Rd
City
Ravenna
State
Ohio
Zip
44266-2023
Phone Number
330-296-2851
Fax Number
330-296-8631
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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