Organization
EASTWOOD RESIDENTIAL LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER VICTOR MBA (PRESIDENT)
(440) 344-1158
Entity
Organization
Contact information
Practice address
6455 N RIDGE RD UNIT 1, MADISON, OH 44057-2516
(440) 344-1158
Mailing address
6455 N RIDGE RD UNIT 1, MADISON, OH 44057-2516
(440) 344-1158
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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