Organization
I DANCE ADAPTIVE PERFORMING ARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MEDINA (OWNER/DIRECTOR)
(419) 309-1610
Entity
Organization
Contact information
Practice address
151 N. MICHIGAN AVE #329, TOLEDO, OH 43604
(419) 309-1610
Mailing address
151 N. MICHIGAN AVE #329, TOLEDO, OH 43604
(419) 309-1610
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266286
—
OH
Enumeration date
11/16/2020
Last updated
11/17/2020
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