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Organization
EAGLE EYE FAMILY DEVELOPMENT CENTER
Active
Organization
EAGLE EYE FAMILY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC H. CHAPPELL (EXECUTIVE DIRECTOR)
(440) 992-8776
Entity
Organization
Contact information
Practice address
4515 N RIDGE RD E, ASHTABULA, OH 44004-4364
(440) 992-8776
Mailing address
PO BOX 516, ASHTABULA, OH 44005-0516
(440) 992-8776
(440) 992-8776
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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