Organization
LIVING A DREAM ADULT DAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHUA LAVONE FORTSON (CEO)
(216) 219-2552
Entity
Organization
Contact information
Practice address
9737 RAVENNA RD STE L, TWINSBURG, OH 44087-2143
(216) 219-2552
Mailing address
2401 DANBURY LN, HUDSON, OH 44236-1414
(216) 219-2552
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
05/11/2024
Last updated
07/07/2024
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