Organization
RESOURCES ADVISING THE DEVELOPMENTAL DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KEISTER MSW (ADMINISTRATOR)
(330) 312-5457
Entity
Organization
Contact information
Practice address
1408 N CHAPEL ST, LOUISVILLE, OH 44641-2494
(330) 312-5457
Mailing address
PO BOX 561, LOUISVILLE, OH 44641-0561
(330) 312-5457
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7606639
—
OH
Enumeration date
11/25/2020
Last updated
11/25/2020
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