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CEDAR CREEK NPI 1730323312


NPI Information

NPI: 1730323312
Provider Name: CEDAR CREEK
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
5411 FOMORIN RD
WILLIAMSBURG, OH
ZIP 45176
Phone: (513) 724-3337
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CEDAR CREEK is a residential treatment facility, intellectual and/or developmental disabilities in Williamsburg, OH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CEDAR CREEK NPI is 1730323312. The provider is registered as an organization entity type.

The provider's business location address is:

5411 FOMORIN RD
WILLIAMSBURG, OH
ZIP 45176-575
Phone: (513) 724-3337
Fax: (513) 724-7505

The provider's authorized official is Kathy Stewart .
The authorized official title is Executive Director and has the following contact phone number (513) 721-2905.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 4/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10850093MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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