Organization
SIERRA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW TAYLOR (CEO)
(330) 212-8228
Entity
Organization
Contact information
Practice address
6665 MAPLE CANYON AVE, COLUMBUS, OH 43229-2224
(330) 212-8228
Mailing address
6665 MAPLE CANYON AVENUE, COLUMBUS, OH 43229
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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