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Christina Grant
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Defiance, Ohio
NPI 1992308514

Christina Grant is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Defiance, OH. Christina Grant practices in Defiance, OH. The NPI Number for Christina Grant is 1992308514 and holds a License No. (Ohio).

The current practice location address for Christina Grant is 8401 N State Route 66, Defiance, OH and can be reached out via phone at 419-966-9929.

Location: 8401 N State Route 66, Defiance, OH, 43512-8637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992308514
Provider Name
Christina Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
8401 N State Route 66, Defiance, OH, 43512-8637
Phone Number
419-966-9929
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8401 N State Route 66
City
Defiance
State
Ohio
Zip
43512-8252
Phone Number
419-966-9929
Fax Number
person
Provider Business Mailing Address Details
Address
8401 N State Route 66
City
Defiance
State
Ohio
Zip
43512-8252
Phone Number
419-966-9929
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.
()
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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