Organization
TRIAD RESIDENTIAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD J FRICK (DIRECTOR)
(419) 536-3497
Entity
Organization
Contact information
Practice address
4986 GATEWAY DR, MEDINA, OH 44256
(330) 723-7980
(330) 723-7981
Mailing address
PO BOX 352313, TOLEDO, OH 43635-2313
(419) 536-3497
(419) 536-3529
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2293414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4800899
—
OH
Enumeration date
09/11/2006
Last updated
08/22/2020
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