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L.E.E.D.A. SERVICES, INC.

Intermediate Care Facility, Mentally Retarded

Millersburg, Ohio

Provider NPI: 1942301767

Organization Information:
Organization Name:  L.E.E.D.A. SERVICES, INC.


Practice Location:
5650 TR 332  MILLERSBURG, OH 44654 US
Tel: 330-833-7993  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
OH

Other Provider Identifiers:

IssuerNumberStateType
CONTRACT PROVIDER NUMBER0610066OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS OH - Page 1



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