Organization
HIS HANDS RESIDENTIAL
Active
Other names
His Hands Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISA E EWING (DOO)
(330) 301-7929
Entity
Organization
Contact information
Practice address
22 YELLOW CREEK CIR, STRUTHERS, OH 44471-3114
(330) 506-1771
Mailing address
22 YELLOW CREEK CIR, STRUTHERS, OH 44471-3114
(330) 506-1771
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4935123
STATE OF OHIO
OH
Enumeration date
10/04/2022
Last updated
10/04/2022
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