Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
37025 AURORA RD, SOLON, OH 44139-4662
(330) 840-6851
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356564
—
OH
Enumeration date
01/09/2020
Last updated
01/09/2020
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