Organization
GUERNSEY RESIDENTIAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE K HALL (EXECUTIVE DIRECTOR)
(740) 439-4271
Entity
Organization
Contact information
Practice address
627 STEUBENVILLE AVE, CAMBRIDGE, OH 43725-2241
(740) 439-4271
(740) 439-2866
Mailing address
627 STEUBENVILLE AVE, CAMBRIDGE, OH 43725-2241
(740) 439-4271
(740) 439-2866
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
3010093
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3010155
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3010164
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3010271
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3010280
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3010299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000237
—
OH
Enumeration date
11/30/2006
Last updated
08/22/2020
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