Organization
FRIENDS FOR LIFE RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE STUART (PARTNER)
(419) 908-9440
Entity
Organization
Contact information
Practice address
1910 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537-4029
(419) 908-9440
(419) 573-1944
Mailing address
1910 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537-4029
(419) 279-8986
(419) 573-1944
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198367
—
OH
Enumeration date
12/31/2020
Last updated
11/19/2024
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