Organization
INTERVAL BROTHERHOOD HOMES, INC.
Active
Other names
IBH Addiction Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HENDERSON (CHIEF FINANCIAL OFFICER)
(330) 237-6878
Entity
Organization
Contact information
Practice address
3445 S MAIN ST, COVENTRY TWP, OH 44319-3028
(330) 644-4095
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/23/2025
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