Organization
COMMUNITY HABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA HAINES (ADMINISTRATOR)
(330) 753-3897
Entity
Organization
Contact information
Practice address
1980 BIGELOW ST, AKRON, OH 44314-2518
(330) 753-3897
(330) 753-9828
Mailing address
PO BOX 1028, AKRON, OH 44309-1028
(330) 753-3897
(330) 753-9828
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700554
—
OH
Enumeration date
09/30/2013
Last updated
09/30/2013
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