Organization
ASHLEY'S MOONSHADOW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AINSLIE JOAN RESCHKE (DIRECTOR OF OPERATIONS)
(440) 223-8251
Entity
Organization
Contact information
Practice address
8370 MUNSON RD, MENTOR, OH 44060-2409
(440) 223-8251
Mailing address
8370 MUNSON RD, MENTOR, OH 44060-2409
(440) 223-8251
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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