Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
9772 DIAGONAL ROAD, MANTUA, OH 44255
(330) 274-2272
(330) 732-2467
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0269874
OH
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269874
—
OH
Enumeration date
03/25/2008
Last updated
01/31/2020
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