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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