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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