Organization
EASTERSEALS NORTHWEST OHIO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA K. ELBRECHT (CEO)
(260) 969-4241
Entity
Organization
Contact information
Practice address
1616 E WOOSTER ST STE 28, BOWLING GREEN, OH 43402-3466
(419) 386-5693
Mailing address
4919 COLDWATER RD, FORT WAYNE, IN 46825-5532
(260) 456-4534
(260) 745-5200
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/01/2025
Last updated
12/11/2025
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