Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Active
Other names
ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
1769 GRAHAM RD, REYNOLDSBURG, OH 43068-3104
(330) 274-2272
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2522229
—
OH
Enumeration date
07/28/2016
Last updated
10/12/2020
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