Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
1180 BOETTLER RD, UNIONTOWN, OH 44685-9505
(330) 274-2272
(330) 732-2467
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 840-6851
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
6700127
OH
310500000X
Mental Illness Intermediate Care Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244828
—
OH
05
—
0269874
—
OH
05
—
0729322
—
OH
05
—
6700127
—
OH
Enumeration date
12/08/2006
Last updated
08/07/2024
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