Individual
GERALD HEINTZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 THOMAS CIR NE, MASSILLON, OH 44646-4976
(330) 418-6700
Mailing address
411 THOMAS CIR NE, MASSILLON, OH 44646-4976
(330) 418-6700
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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