Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 840-6851
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9160
(330) 840-6851
(330) 732-2467
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0244828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244828
—
OH
Enumeration date
09/18/2015
Last updated
07/10/2020
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