# GRAND MANNER, INC

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

## Provider details

- **NPI number:** 1932328572
- **Authorized official:** MR. GARY A TOTH (CEO-OWNER)
- **Authorized official phone:** (440) 428-9082

## Contact information

- **Practice address:** 1954 HUBBARD RD, MADISON, OH 44057-2154
- **Practice address phone:** (440) 428-9082
- **Practice address fax:** (440) 428-5399
- **Mailing address:** PO BOX 40, MADISON, OH 44057-0040
- **Mailing address phone:** (440) 428-9082
- **Mailing address fax:** (440) 428-5399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020