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Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
9772 DIAGONAL ROAD, MANTUA, OH 44255
(330) 274-2272
(330) 732-2467
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0269874
OH
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269874
—
OH
Enumeration date
03/25/2008
Last updated
01/31/2020
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