Organization
YGGDRASIL RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC WHITEHOUSE (COO)
(740) 257-3815
Entity
Organization
Contact information
Practice address
72480 PATTONS RUN RD, MARTINS FERRY, OH 43935-9793
(740) 257-3815
Mailing address
72480 PATTONS RUN RD, MARTINS FERRY, OH 43935-9793
(740) 257-3815
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/13/2024
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