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Organization

YOUNGSTOWN DEVELOPMENTAL CENTER

Active
Parent organization
STATE OF OHIO DEPT. OF MR/DD
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF OHIO DEPT. OF MR/DD
Authorized official
MS. CYNTHIA M. RENNER (SUPERINTENDENT)
(330) 544-2231
Entity
Organization

Contact information

Practice address
4891 E COUNTY LINE RD, MINERAL RIDGE, OH 44440-9411
(330) 544-2231
(330) 544-3519
Mailing address
4891 E COUNTY LINE RD, MINERAL RIDGE, OH 44440-9411
(330) 544-2231
(330) 544-3519

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
36G589
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2396134
OH
Enumeration date
03/21/2007
Last updated
10/30/2008
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