Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
37125 AURORA RD, SOLON, OH 44139-4659
(330) 274-2272
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2561919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561919
—
OH
Enumeration date
10/01/2015
Last updated
08/07/2024
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