Organization
COUNTY OF RICHLAND
Active
Other names
Raintree
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH G. PRATHER (SUPERINTENDENT)
(419) 774-4200
Entity
Organization
Contact information
Practice address
721 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 774-4300
Mailing address
314 CLEVELAND AVE, MANSFIELD, OH 44902-8623
(419) 774-4300
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
—
0496842
—
OH
Enumeration date
09/25/2007
Last updated
09/26/2007
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