Organization
KENTIX DEVELOPMENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SPITALERI AS,BA,MS (CEO)
(330) 949-0131
Entity
Organization
Contact information
Practice address
113 PORTAGE TRL, CUYAHOGA FALLS, OH 44221-3221
(330) 949-0131
(234) 208-9894
Mailing address
3439 ATTERBURY ST, CUYAHOGA FALLS, OH 44221-1115
(330) 949-0131
(234) 208-9894
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/30/2014
Last updated
10/07/2016
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