Organization
VILLAGE RESIDENTIAL AND CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HARRIS (PRESIDENT/OWNER)
(937) 475-5655
Entity
Organization
Contact information
Practice address
5781 WALNUT WOOD WAY, DAYTON, OH 45415-2669
(937) 475-5655
Mailing address
5781 WALNUT WOOD WAY, DAYTON, OH 45415-2669
(937) 475-5655
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5712125
—
OH
Enumeration date
11/28/2020
Last updated
11/30/2020
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