Guadalupe Home

NPI 1013168111 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1013168111
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHIRLEY SHIRLEY
Position BUSINESS ADMINISTRATOR
Phone (440) 934-4825
Fax (440) 934-4799
Practice Location
38023 COLORADO AVE
AVON OH, 44011-1026, US
Phone (440) 934-4825
Fax (440) 934-4799
Business Location
38135 COLORADO AVE
AVON OH, 44011-1028, US
Phone (440) 934-6152
Fax (440) 934-0430
Toxanomy
Taxonomy Code 320600000X
License State Ohio
License Number 4710076
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According to our database, Guadalupe Home NPI is 1013168111, taxonomy code is 320600000X and license number is 4710076, license state is located at Ohio. Guadalupe Home physically located at 38023 Colorado Ave, Avon OH, 44011-1026. NPI Number 1033115704 has the healthcare provider type.

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1013168111 NPI number is provided on an as is basis without warranty of any kind. 1013168111 is maintained by the National Plan & Provider Enumeration System. The contents of Guadalupe Home are for informational purposes only.