Organization
MATTMO OUTREACH RESIDENTIAL SERIVCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HAJAH MEMUNATU CONTEH BSN, RN (DIRECTOR)
(804) 912-4095
Entity
Organization
Contact information
Practice address
135 S LIBERTY ST, DELAWARE, OH 43015-2568
(804) 912-4095
Mailing address
135 S LIBERTY ST, DELAWARE, OH 43015-2568
(804) 912-4095
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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