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Organization
ASHTABULA COUNTY RESIDENTIAL SERVICES CORP.
Active
Organization
ASHTABULA COUNTY RESIDENTIAL SERVICES CORP.
Active
Other names
Maples I
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH L MALOY RN (DIRECTOR)
(440) 593-6027
Entity
Organization
Contact information
Practice address
2956 E CENTER ST, N KINGSVILLE, OH 44068-0361
(440) 224-0662
(440) 224-0662
Mailing address
29 PARRISH RD, CONNEAUT, OH 44030-1146
(440) 593-6027
(440) 593-6007
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0410013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2508594
—
OH
Enumeration date
05/05/2008
Last updated
05/05/2008
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