Individual
MR. RICHARD ALAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
VP OF IDD, COO
Contact information
Practice address
640 MENLO PARK ST SW, HARTVILLE, OH 44632-9698
(330) 877-7000
Mailing address
880 SUNNYSIDE ST SW, HARTVILLE, OH 44632-9087
(330) 877-7700
(330) 877-7701
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7601796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2274140
—
OH
Enumeration date
02/08/2021
Last updated
02/16/2021
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