Organization
TOWARD INDEPENDENCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J SCHLATER (EXECUTIVE DIRECTOR)
(937) 376-3996
Entity
Organization
Contact information
Practice address
1620 SOUTHLAWN DR, FAIRBORN, OH 45324-3938
(937) 376-3996
Mailing address
81 E MAIN ST, XENIA, OH 45385-3201
(937) 376-3996
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2910229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121993
—
OH
Enumeration date
05/15/2015
Last updated
05/15/2015
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