Organization
FAMILY DISABILITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD DONNELLY (COO)
(330) 806-1753
Entity
Organization
Contact information
Practice address
5171 KNIGHT RD NW, MALVERN, OH 44644-9733
(330) 806-1753
Mailing address
PO BOX 908, MALVERN, OH 44644-0908
(330) 806-1753
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153567
—
OH
Enumeration date
10/13/2011
Last updated
02/10/2023
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