Mallory Wallace - Cincinnati, OH

Mallory Wallace

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cincinnati, Ohio

NPI 1972207504

Mallory Wallace is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Cincinnati, OH. Mallory Wallace practices in Cincinnati, OH. The NPI Number for Mallory Wallace is 1972207504 and holds a License No. (Ohio).

The current practice location address for Mallory Wallace is 8725 Brooks Creek Dr Apt 2125, Cincinnati, OH and can be reached out via phone at 424-333-5672.

Location: 8725 Brooks Creek Dr Apt 2125, Cincinnati, OH, 45249-2089

NPI Number

1972207504

Provider Name

Mallory Wallace

Credential

Provider Entity Type

Individual

Gender

Female

Address

8725 Brooks Creek Dr Apt 2125, Cincinnati, OH, 45249-2089

Phone Number

424-333-5672

Fax Number

Provider Enumeration Date

03/28/2023

Last Update Date

03/10/2024

Address

8725 Brooks Creek Dr Apt 2125

City

Cincinnati

State

Ohio

Zip

45249-2089

Phone Number

424-333-5672

Fax Number

Address

8725 Brooks Creek Dr Apt 2125

City

Cincinnati

State

Ohio

Zip

45249-2089

Phone Number

424-333-5672

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320600000X

License No.

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Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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