Whalio Doctors

NPI 1013168111

Guadalupe Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Avon, OH

Practice location

Address
38023 Colorado Ave, Avon, OH 44011-1026
Phone
(440) 934-4825
Fax
(440) 934-4799
Mailing address
38135 Colorado Ave, Avon, OH 44011-1028

Authorised official

Name
Shirley Sharp
Title
Business Administrator
Phone
(440) 934-6152

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 4710076 (OH)

Registry record

NPI
1013168111
Entity type
Organization
NPI issued
7 Oct 2008
Record last updated
7 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.