36D1000916 CLIA NUMBER - HARTVILLE MEADOWS HARTVILLE HOMES INC

Laboratory Demographics

CLIA Number: 36D1000916

Facility Name: HARTVILLE MEADOWS HARTVILLE HOMES INC

Facility Address:
7237-A WHIPPLE AVENUE NW
NORTH CANTON, OH
ZIP 44720
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Facility Phone Number: 330 877-7700

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1477760908

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name Field Value
CLIA Number 36D1000916
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name HARTVILLE MEADOWS HARTVILLE HOMES INC
Street 7237-A WHIPPLE AVENUE NW
City NORTH CANTON
State OH
ZIP 44720
Phone 330 877-7700
CertificateType 4
CertificateEffectiveDate 6/26/2022
CertificateExpirationDate 6/25/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024