Organization
MINAMYER RESIDENTIAL MR/DD SERVICES, INC.
Active
Other names
Minamyer Residential Care Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN A MINAMYER (VICE PRESIDENT)
(614) 802-0190
Entity
Organization
Contact information
Practice address
967 WORTHINGTON WOODS LOOP RD, WORTHINGTON, OH 43085-5743
(614) 802-0190
Mailing address
967 WORTHINGTON WOODS LOOP RD, WORTHINGTON, OH 43085-5743
(614) 802-0190
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153559
—
OH
Enumeration date
11/27/2020
Last updated
11/27/2020
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