Organization
RICHLAND COUNTY
Active
Other names
Evelyn
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH G PRATHER (SUPERINTENDENT)
(419) 774-4200
Entity
Organization
Contact information
Practice address
592 EVELYN AVE, MANSFIELD, OH 44907
(419) 522-0611
Mailing address
314 CLEVELAND AVE, MANSFIELD, OH 44902-8623
(419) 774-4200
(419) 774-4207
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7010406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902630
—
OH
01
—
7010406
ODMRDD
—
Enumeration date
01/21/2009
Last updated
01/21/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us