Organization
GRAND MANNER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A TOTH (CEO-OWNER)
(440) 428-9082
Entity
Organization
Contact information
Practice address
1954 HUBBARD RD, MADISON, OH 44057-2154
(440) 428-9082
(440) 428-5399
Mailing address
PO BOX 40, MADISON, OH 44057-0040
(440) 428-9082
(440) 428-5399
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4300992
—
OH
Enumeration date
04/24/2007
Last updated
08/22/2020
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