Organization
STARCHER FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SUE PAHANISH (OWNER)
(330) 698-2970
Entity
Organization
Contact information
Practice address
5027 DOVER RD, APPLE CREEK, OH 44606-9694
(330) 201-0243
(330) 698-2970
Mailing address
5027 DOVER RD, APPLE CREEK, OH 44606-9694
(330) 201-0243
(330) 698-2970
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
8510490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003512
—
OH
05
—
8500134
—
OH
Enumeration date
05/21/2007
Last updated
08/22/2020
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