Organization
G & D ALTERNATIVE LIVING,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON FITZPATRICK SR. (ADMINISTRATOR)
(937) 446-2803
Entity
Organization
Contact information
Practice address
121 CHARLES ST, SARDINIA, OH 45171-9338
(937) 446-2803
Mailing address
121 CHARLES ST, SARDINIA, OH 45171-9338
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0800128
OH
Other
Enumeration date
12/01/2006
Last updated
08/25/2010
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