Organization
INDEPENDENCE OF PORTAGE COUNTY, INC.
Active
Other names
Paths to Independence - Cleveland
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA BARRETT (EXECUTIVE DIRECTOR)
(330) 296-2851
Entity
Organization
Contact information
Practice address
837 CLEVELAND RD, RAVENNA, OH 44266-2023
(330) 296-2851
(330) 296-8631
Mailing address
161 E MAIN ST, RAVENNA, OH 44266-3129
(330) 296-2851
(330) 296-8631
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
OH
Enumeration date
09/28/2010
Last updated
09/28/2010
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