Organization
TLM RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI L. MITCHELL (OWNER/PROGRAM DIRECTOR)
(330) 881-2102
Entity
Organization
Contact information
Practice address
1350 5TH AVE STE 112, YOUNGSTOWN, OH 44504-1765
(234) 254-8895
(234) 719-1144
Mailing address
3631 SANDBURG DR, YOUNGSTOWN, OH 44511-1115
(330) 881-2102
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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