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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