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Eva Speakman
Physical Disabilities Residential Treatment Facility in Leesburg, Ohio
NPI 1962810457

Eva Speakman is a Physical Disabilities Residential Treatment Facility based in Leesburg, OH. Eva Speakman practices in Leesburg, OH. The NPI Number for Eva Speakman is 1962810457 and holds a License No. 3004386 (Ohio).

The current practice location address for Eva Speakman is 208 E Main St, Leesburg, OH and can be reached out via phone at 937-780-1081.

Location: 208 E Main St, Leesburg, OH, 45135-9660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962810457
Provider Name
Eva Speakman
Credential
Provider Entity Type
Individual
Gender
Female
Address
208 E Main St, Leesburg, OH, 45135-9660
Phone Number
937-780-1081
Fax Number
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3004386 01 OH OHIO FAMILY JOB AND SERVICES - MY CARE OHIO
institution
Provider Business Practice Location Address Details
Address
208 E Main St
City
Leesburg
State
Ohio
Zip
45135-9660
Phone Number
937-780-1081
Fax Number
person
Provider Business Mailing Address Details
Address
208 E Main St
City
Leesburg
State
Ohio
Zip
45135-9660
Phone Number
937-780-1081
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
3004386 (Ohio)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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