Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
769 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2821
(614) 486-4361
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(614) 486-4361
(614) 486-3191
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0508025
—
OH
05
—
0512663
—
OH
05
—
0550210
—
OH
05
—
0557697
—
OH
05
—
0567855
—
OH
05
—
0575533
—
OH
05
—
0575542
—
OH
05
—
2500672
—
OH
05
—
2522229
—
OH
05
—
2561900
—
OH
Enumeration date
01/17/2007
Last updated
10/12/2020
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