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Organization
LEEDA NORTHEAST, INC.
Active
Organization
LEEDA NORTHEAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN SWEENEY (ADMINISTRATOR DESIGNEE)
(330) 392-6006
Entity
Organization
Contact information
Practice address
1441 PARKMAN RD NW, WARREN, OH 44485-2156
(330) 392-6006
(330) 392-6116
Mailing address
1441 PARKMAN RD NW, WARREN, OH 44485-2156
(330) 392-6006
(330) 392-6116
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800482
—
OH
Enumeration date
07/13/2020
Last updated
09/22/2020
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