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Organization

GENTLEBROOK, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL D SLEUTZ (CHIEF OPERATIONS OFFICER)
(330) 877-7700
Entity
Organization

Contact information

Practice address
880 SUNNYSIDE ST SW, HARTVILLE, OH 44632-9087
(330) 877-7700
(330) 877-7701
Mailing address
880 SUNNYSIDE ST SW, HARTVILLE, OH 44632-9087
(330) 877-7700
(330) 877-7701

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7601796
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2274140
OH
Enumeration date
06/29/2011
Last updated
04/19/2016
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