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Organization
BITTERSWEET INC.
Active
Organization
BITTERSWEET INC.
Active
Other names
Bittersweet Farms
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LULFS (CHIEF FINANCIAL OFFICER)
(419) 875-6986
Entity
Organization
Contact information
Practice address
12660 ARCHBOLD WHITEHOUSE RD, FINANCE DEPARTMENT, WHITEHOUSE, OH 43571-9566
(419) 875-6986
(419) 875-5593
Mailing address
12660 ARCHBOLD WHITEHOUSE RD, FINANCE DEPARTMENT, WHITEHOUSE, OH 43571-9566
(419) 875-6986
(419) 875-5593
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
4810057 CERT- 25785
OH
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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