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HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES NPI 1649649799


NPI Information

NPI: 1649649799
Provider Name: HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
9772 DIAGONAL RD
MANTUA, OH
ZIP 44255
Phone: (330) 840-6851
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HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES is an intermediate care facility mentally retarded in Mantua, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES NPI is 1649649799. The provider is registered as an organization entity type.

The provider's business location address is:

9772 DIAGONAL RD
MANTUA, OH
ZIP 44255-128
Phone: (330) 840-6851

The provider's authorized official is Gregory Snyder .
The authorized official title is Cfo and has the following contact phone number (330) 840-6851.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 7/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities0244828OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10244828MEDICAIDOHIO

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: 4/28/2024

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