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Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
26405 TRYON RD, BEDFORD, OH 44146-5970
(330) 840-6851
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357003
—
OH
Enumeration date
01/13/2020
Last updated
01/13/2020
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