Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
9772 DIAGONAL ROAD, MANTUA, OH 44255
(330) 274-2272
(330) 732-2467
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
6701000
OH
251E00000X
Home Health Agency
Primary
—
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6701000
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2266435
—
OH
05
—
6701000
—
OH
Enumeration date
12/18/2006
Last updated
01/31/2020
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