Organization
E.C.I.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA WITHROW (PRESIDENT)
(419) 443-0767
Entity
Organization
Contact information
Practice address
382 S HURON ST, TIFFIN, OH 44883-1841
(419) 443-0767
(419) 443-1018
Mailing address
382 S HURON ST, TIFFIN, OH 44883-1841
(419) 443-0767
(419) 443-1018
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
—
7400146
—
OH
Enumeration date
07/11/2007
Last updated
07/11/2007
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