Organization
DEEPWOOD INDUSTRIES, INC
Active
Organization
DEEPWOOD INDUSTRIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY METELKO (CEO)
(440) 350-5231
Entity
Organization
Contact information
Practice address
8121 DEEPWOOD BLVD, MENTOR, OH 44060
(440) 350-5231
Mailing address
8121 DEEPWOOD BLVD, MENTOR, OH 44060
(440) 350-5231
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4303480
DODD-PROVIDER
OH
05
—
7914634
—
OH
Enumeration date
01/26/2021
Last updated
01/26/2021
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