Organization
REM OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
3561 POTTS DRIVE, BARBERTON, OH 44203
(330) 644-9730
(330) 644-9780
Mailing address
470 PORTAGE LAKES DR STE 206, COVENTRY TOWNSHIP, OH 44319-2296
(330) 644-5216
(330) 644-5475
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0770554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770554
—
OH
01
—
36-G369
CMS CERTIFICATION NUMBER
OH
Enumeration date
08/28/2008
Last updated
04/20/2023
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