Organization
ERIE RESIDENTIAL LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA FROST (EXECUTIVE DIRECTOR)
(419) 626-0316
Entity
Organization
Contact information
Practice address
706 E PARK ST, SANDUSKY, OH 44870-3301
(419) 626-0316
Mailing address
706 E PARK ST, SANDUSKY, OH 44870-3301
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200200
—
OH
Enumeration date
05/22/2007
Last updated
08/22/2020
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