# HEARTH & HOME AT VANDALIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497878102
- **Authorized official:** MRS. ROSE L SIDDLE (ADMINISTRATOR)
- **Authorized official phone:** (937) 264-1140

## Contact information

- **Practice address:** 55 GREAT HILL DR, DAYTON, OH 45414-1824
- **Practice address phone:** (937) 264-1140
- **Practice address fax:** (937) 264-1149
- **Mailing address:** 55 GREAT HILL DR, DAYTON, OH 45414-1824
- **Mailing address phone:** (937) 264-1140
- **Mailing address fax:** (937) 264-1149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 2341RCF | OH | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020