Organization
DIFFERENTLY ABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMERSON L STOCKS JR. LNHA (PRESIDENT)
(440) 254-3207
Entity
Organization
Contact information
Practice address
13760 MAGGIE LN, PAINESVILLE, OH 44077-8726
(440) 254-3207
(440) 254-3207
Mailing address
13760 MAGGIE LN, PAINESVILLE, OH 44077-8726
(440) 254-3207
(440) 254-3207
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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