Individual
LISA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 JERSEY RIDGE RD, ZANESVILLE, OH 43701-7333
Mailing address
1405 JERSEY RIDGE RD, ZANESVILLE, OH 43701-7333
(740) 408-0697
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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