Organization
THOMAS HOME
Active
Parent organization
OUR LADY OF THE WAYISDE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF THE WAYISDE
Authorized official
SHIRLEY SHARP (BUSINESS ADMINISTRATOR)
(440) 934-6152
Entity
Organization
Contact information
Practice address
38135 COLORADO AVE, AVON, OH 44011-1028
(440) 934-6152
Mailing address
38135 COLORADO AVE, AVON, OH 44011-1028
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4710838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2927668
—
OH
Enumeration date
04/14/2011
Last updated
04/14/2011
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