Organization
LIVING IN FAMILY ENVIRONMENTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BENJAMIN WESTLAKE II (COO)
(614) 475-5305
Entity
Organization
Contact information
Practice address
142 N HIGH ST, GAHANNA, OH 43230-3032
(614) 475-5305
(614) 471-6912
Mailing address
142 N HIGH ST, GAHANNA, OH 43230-3032
(614) 475-5305
(614) 471-6912
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010988
—
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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