Individual
MRS. ERIN H DEMOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5089 STATE ROUTE 305, SOUTHINGTON, OH 44470-9714
(133) 064-6114
Mailing address
5089 STATE ROUTE 305, SOUTHINGTON, OH 44470-9714
(133) 064-6114
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7803364
OH
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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