Organization
WELCOME HOUSE - WAIVER SERVICES
Active
Parent organization
WELCOME HOUSE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELCOME HOUSE, INC.
Authorized official
ANTHONY R THOMAS (EXECUTIVE DIRECTOR)
(440) 356-2330
Entity
Organization
Contact information
Practice address
802 SHARON DR STE A, WESTLAKE, OH 44145-1539
(440) 356-2330
Mailing address
802 SHARON DR STE A, WESTLAKE, OH 44145-1539
(440) 356-2330
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1802802
WAIVER PROVIDER NUMBER
OH
Enumeration date
10/15/2020
Last updated
10/15/2020
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