Organization
A L ANDERSON HOUSE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY LYNN ANDERSON (DIRECTOR)
(513) 602-0695
Entity
Organization
Contact information
Practice address
238 AUDUBON PARK, DAYTON, OH 45402-6312
(513) 602-0695
Mailing address
238 AUDUBON PARK, DAYTON, OH 45402-6312
(513) 602-0695
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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