Organization
GOOD STEWART LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALAN STEWART (PRESIDENT)
(330) 687-6181
Entity
Organization
Contact information
Practice address
869 E TUSCARAWAS AVE, BARBERTON, OH 44203-3721
(330) 687-6181
Mailing address
869 E TUSCARAWAS AVE, BARBERTON, OH 44203-3721
(330) 687-6181
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297447
—
OH
Enumeration date
12/11/2020
Last updated
12/11/2020
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