Organization
CENTRAL OHIO GROUP HOMES, INC.
Active
Organization
CENTRAL OHIO GROUP HOMES, INC.
Active
Other names
Canterbury Villa
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0160
Entity
Organization
Contact information
Practice address
80 MILLER ST, CENTERBURG, OH 43011-9741
(740) 625-6873
Mailing address
25000 COUNTRY CLUB BLVD, SUITE 255, NORTH OLMSTED, OH 44070-5344
(440) 614-0160
(440) 614-0168
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4210642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2417530
—
OH
Enumeration date
05/24/2005
Last updated
06/16/2014
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