MRS. MIRANDA R MEOLA LCDC III NPI 1104239466

NPI Information

MRS. Miranda R Meola, LCDC III is a substance abuse rehabilitation facility in Jefferson, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MRS. Miranda R Meola, LCDC III NPI is 1104239466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1484 STATE ROUTE 46 N
SUITE 7
JEFFERSON, OH
ZIP 44047-145
Phone: (440) 624-4033
Fax: (440) 624-4086

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/4/2014.

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:

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