Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareHATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Intermediate Care Facility, Mental Illness
Mantua, Ohio
Provider NPI: 1801955240
Organization Information:Organization Name: HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Practice Location:
9772 DIAGONAL ROAD MANTUA, OH 44255 US
Tel: 330-274-2272 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9772 DIAGONAL ROAD MANTUA, OH 44255 US
Tel: 330-274-2272 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | OH | 6700127 |
| Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | OH |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 6700127 | OH | 05 | |
| 0244828 | OH | 05 | |
| 0729322 | OH | 05 | |
| 0269874 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin