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Organization
YODER SUPPORTED LIVING SERVICES, INC.
Active
Organization
YODER SUPPORTED LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA CAROL YODER (DIRECTOR)
(440) 477-1498
Entity
Organization
Contact information
Practice address
5651 BRADFORD RD, WEST FARMINGTON, OH 44491-9716
(440) 527-0629
Mailing address
5651 BRADFORD RD, WEST FARMINGTON, OH 44491-9716
(440) 477-1498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7800820
PROVIDER NUMBER FROM OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
09/09/2013
Last updated
11/28/2020
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