Organization
BRITTANY RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J JAY FABIAN (ADMINISTRATOR)
(440) 428-6648
Entity
Organization
Contact information
Practice address
3100 ARCOLA ROAD, MADISON, OH 44057-3035
(440) 428-6648
(440) 428-4696
Mailing address
3100 ARCOLA ROAD, MADISON, OH 44057-3035
(440) 428-6648
(440) 428-4696
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0949791
—
OH
Enumeration date
12/06/2006
Last updated
08/22/2020
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