Organization
INDEPENDENCE OF PORTAGE COUNTY, INC.
Active
Organization
INDEPENDENCE OF PORTAGE COUNTY, INC.
Active
Other names
Paths to Independence, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA BARRETT (EXECUTIVE DIRECTOR)
(330) 296-2851
Entity
Organization
Contact information
Practice address
126 E MAIN ST, RAVENNA, OH 44266-3104
(330) 296-2851
(330) 296-8631
Mailing address
161 E MAIN ST, RAVENNA, OH 44266-3129
(330) 296-2851
(330) 296-8631
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6700190
ODMR LICENSE
OH
Enumeration date
01/16/2007
Last updated
10/24/2008
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