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Organization
GENTLEBROOK
Active
Organization
GENTLEBROOK
Active
Other names
Lafayette Meadows Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAN SLEUTZ LSW, QDDP (CHIEF OPERATING OFFICER)
(330) 877-7700
Entity
Organization
Contact information
Practice address
21632 PICKWICK ST, BOX 30, WEST LAFAYETTE, OH 43845-9511
(740) 545-6366
Mailing address
880 SUNNYSIDE ST SW, HARTVILLE, OH 44632-9087
(330) 877-7700
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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