YGGDRASIL RESIDENTIAL SERVICES NPI 1811745490

NPI Information

NPI: 1811745490
Provider Name: YGGDRASIL RESIDENTIAL SERVICES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
72480 PATTONS RUN RD
MARTINS FERRY, OH
ZIP 43935
Phone: (740) 257-3815
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YGGDRASIL RESIDENTIAL SERVICES is an intermediate care facility mentally retarded in Martins Ferry, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. YGGDRASIL RESIDENTIAL SERVICES NPI is 1811745490. The provider is registered as an organization entity type.

The provider's business location address is:

72480 PATTONS RUN RD
MARTINS FERRY, OH
ZIP 43935-793
Phone: (740) 257-3815

The provider's authorized official is Marc Whitehouse .
The authorized official title is Coo and has the following contact phone number (740) 257-3815.

The enumeration date for this NPI number is 5/9/2024 and was last updated on 5/13/2024.

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
1	253Z00000X	In Home Supportive Care				No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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

NPI Synchronization or Removal

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