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Organization

SHELTER CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WESLEY D FAIR PH.D. (EXECUTIVE DIRECTOR)
(330) 630-5600
Entity
Organization

Contact information

Practice address
32 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-5600
(330) 630-5810
Mailing address
32 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-5600
(330) 630-5810

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0670
OH
251S00000X
Community/Behavioral Health Agency
Primary
0670
OH

Other

Enumeration date
08/05/2011
Last updated
08/05/2011
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