Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Other names
ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
1382 IDA AVE, COLUMBUS, OH 43212-2908
(330) 274-2272
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0575533
—
OH
Enumeration date
08/01/2016
Last updated
11/17/2020
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