Organization
RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN BROWN (FISCAL MANAGER)
(740) 642-4158
Entity
Organization
Contact information
Practice address
226 S MAIN ST, NEW LEXINGTON, OH 43764-1369
(740) 342-4158
(740) 342-4218
Mailing address
PO BOX 101, NEW LEXINGTON, OH 43764-0101
(740) 342-4158
(740) 342-4218
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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