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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
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 840-6851
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9160
(330) 840-6851
(330) 732-2467
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0244828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244828
—
OH
Enumeration date
09/18/2015
Last updated
07/10/2020
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