Organization
EASTER SEALS NORTHERN OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN E HOLLY (CHIEF OPERATING OFFICER)
(234) 417-0250
Entity
Organization
Contact information
Practice address
1907 CROGHAN ST, FREMONT, OH 43420-2762
(800) 589-6834
Mailing address
1212 PORTAGE TRL, CUYAHOGA FALLS, OH 44223-2128
(234) 417-0250
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272790912
—
OH
Enumeration date
06/17/2021
Last updated
06/17/2021
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