Organization
ELLIE HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSA JOHNSON (ACCOUNTANT)
(330) 539-9700
Entity
Organization
Contact information
Practice address
106 E MARKET ST STE 301, WARREN, OH 44481-1151
(330) 539-9700
(330) 539-9708
Mailing address
106 E MARKET ST STE 301, WARREN, OH 44481-1151
(330) 539-9700
(330) 539-9708
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5005950
—
OH
Enumeration date
01/28/2021
Last updated
01/28/2021
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