Organization
FIRST MENTAL RETARDATION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARITA SIMMONS (CEO)
(937) 262-3077
Entity
Organization
Contact information
Practice address
2080 N GETTYSBURG AVE, DAYTON, OH 45406-3562
(937) 262-3077
Mailing address
2080 N GETTYSBURG AVE, DAYTON, OH 45406-3562
(937) 262-3077
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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